Endovascular Treatment of Brachiocephalic and Subclavian Arterial Disease

Yasutaka Baba, Sadao Hayashi, Hiroyuki Yamamoto, Yutaka Imoto, Masayuki Nakajo

Department of Cardiovascular Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima City, Japan.
Department of Radiology, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima City, Japan.

DOI: 10.4236/ojrad.2013.31002                

Abstract

Objectives: To review our experience of stentgraft deployment for vascular aneurysm or pseudoaneurysm of the brachiocephalic or subclavian artery. Methods: Participants comprised 7 patients (4 men, 3 women; mean age, 61 years; range, 47 - 76 years) who underwent endovascular repair of brachiocephalic or subclavian arterial vascular lesions between July 2001 and November 2008. Causes of vascular lesions were: traffic accident, n = 4; infection, n = 2; and post-irradiation state of esophageal cancer, n = 1. Safety, technical success, and clinical follow-up were evaluated. Results: Stentgraft deployment was successful in all cases. No complications related to stent fracture were encountered during follow-up (up to 2308 days). One male patient with esophageal cancer died of rebleeding from the tracheostomy hole 13 days after treatment with size mismatch between the stentgraft and brachiocephalic artery. Conclusion: Stentgraft deployment represents acceptable treatment for the injured brachiocephalic artery or proximal side of the subclavian artery.

Keywords

Stentgraft; Brachiocephalic Artery; Subclavian Artery; Pseudoaneurysm

Conflicts of Interest

The authors declare no conflicts of interest.

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