Twelve tight stenoses (9 of the subclavian artery, 1 of the axillary artery and 2 of the brachio-cephalic artery) were dilated with immediate satisfactory results in all cases. Only one complication (regressive lesion of the median nerve) was recorded. Eight patients were followed-up for a mean period of 13 months: all were symptom-free, and digital angiography by the intravenous route showed a stable image of patency. From a review of published dilatations of the subclavian artery it appeared that the method is 95% effective, that its mortality is nil and that no complication, notably embolism, has been reported. In view of the risks involved in surgical procedures and of the advantages of percutaneous transluminal angioplasty, at least in theory, this technique seems to be a suitable alternative to surgery in stenoses of the subclavian arteries.
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Cureus
October 2024
Pediatrics, All India Institute of Medical Sciences, Mangalagiri, Mangalagiri, IND.
Takayasu arteritis (TA), a rare large-vessel vasculitis, primarily affects women of childbearing age, causing granulomatous inflammation in the aorta and its major branches. This inflammation can lead to stenosis, aneurysms, or occlusion, with the abdominal aorta, subclavian, and brachial arteries commonly involved. We present the case of a 26-year-old female with TA with a rare involvement of the superior mesenteric artery (SMA).
View Article and Find Full Text PDFEur Heart J Case Rep
November 2024
Department of Cardiology, Tokyo Medical University, 6-7-1 Nishishinjyuku, Shinjyuku-ku, 160-0023 Tokyo, Japan.
Background: Subclavian artery stenosis is generally screened by a left-right brachial systolic blood pressure difference. However, subclavian artery stenoses are often underdiagnosed due to marginally identified symptoms. In dialysis patients, a relative or absolute contradiction of measuring blood pressure in shunt brachial artery may further limit the disease screening.
View Article and Find Full Text PDFEur Heart J Case Rep
November 2024
Department of Thoracic and Cardiovascular Surgery, Saga University, 5 -1-1 Nabeshima, Saga Shi, Saga Ken 849-8501, Japan.
BMC Cardiovasc Disord
November 2024
Department of Cardiovascular Surgery, the First Affiliated Hospital of Nanjing Medical University, 300 Guangzhou Road, Nanjing City, Jiangsu Province, 210029, China.
Heart Rhythm
October 2024
Electrophysiology Section, Division of Cardiology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania. Electronic address:
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