gms | German Medical Science

129. Kongress der Deutschen Gesellschaft für Chirurgie

Deutsche Gesellschaft für Chirurgie

24.04. - 27.04.2012, Berlin

Experiences with endovascular therapy (Viabahn) of distal subclavian artery stenosis through open retrograde transbrachial access. A small case series

Meeting Abstract

  • A. Fawad Jebran - Uniklinik Göttingen, Thorax-, Herz-, Gefäßchirurgie, Göttingen
  • Bernd Danner - Uniklinik Göttingen, Thorax-, Herz-, Gefäßchirurgie, Göttingen
  • Dieter Zenker - Uniklinik Göttingen, Thorax-, Herz-, Gefäßchirurgie, Göttingen
  • Friedrich A. Schöndube - Uniklinik Göttingen, Thorax-, Herz-, Gefäßchirurgie, Göttingen
  • Tomislav Stojanovic - Uniklinik Göttingen, Thorax-, Herz-, Gefäßchirurgie, Göttingen

Deutsche Gesellschaft für Chirurgie. 129. Kongress der Deutschen Gesellschaft für Chirurgie. Berlin, 24.-27.04.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. Doc12dgch566

doi: 10.3205/12dgch566, urn:nbn:de:0183-12dgch5669

Published: April 23, 2012

© 2012 Jebran et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.


Outline

Text

Einleitung: Distal stenosis of subclavian artery are a rare entity in patients with occlusive peripheral artery disease and difficult to treat. While the open approach is unfavourable due to operative damage to the surrounding anatomy, endovascular therapy may offer new options. We report here about the implantation of Viabahn stent-graft in distal stenosis of subclavian artery.

Material und Methoden: Through an open retrograde access Viabahn stent-grafts were deployed in Seldinger technique. 3 patients (4 arms) were treated. Follow-up was performed after 1 and 2 years.

Ergebnisse: Implantation was successful in all cases. After implantation patients were immediately started on aspirin (100 mg/d) and clopidogrel (75 mg/d) for at least 6 months. Follow-up showed a primary patency rate of 100% after 1 and 2 years.

Schlussfolgerung: The endovascular treatment of distal subclavian artery stenosis with Viabahn stent-graft exhibits good results after 1 and 2 years in a small case series. Large prospective studies are needed to assess its longterm patency.