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首页> 外文期刊>Vascular and endovascular surgery >Retrograde supra-aortic stent placement combined with open carotid or subclavian artery revascularization.
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Retrograde supra-aortic stent placement combined with open carotid or subclavian artery revascularization.

机译：逆行主动脉上支架置入结合颈动脉或锁骨下动脉开放血运重建。

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摘要

PURPOSE: To review the outcomes of retrograde supra-aortic vessel stent (RSAS) placement combined with open carotid or subclavian artery revascularization. METHODS: Retrospective review of all consecutive patients between 1995 and 2010, excluding transfemoral procedures or isolated retrograde stent placement. RESULTS: There were 11 patients (9 females, mean age 65 years). Open revascularization included carotid endarterectomy in 6 patients, carotid-subclavian bypass in 3, and carotid-carotid bypass in 2 patients. There were no operative deaths or neurological events. All symptomatic patients improved. Over a mean follow-up of 24 months, One patient developed common carotid artery (CCA) in-stent dissection and symptomatic restenosis treated with subclavian-carotid bypass. Another 3 patients had asymptomatic restenosis of the carotid bifurcation but required no intervention. CONCLUSIONS: Retrograde stenting of the common carotid or innominate artery is a safe and effective method to provide inflow in selected patients with severe supra-aortic vessel disease who require concomitant open carotid or subclavian artery reconstructions.
机译：目的：回顾逆行主动脉上血管支架（RSAS）放置与开放的颈动脉或锁骨下动脉血运重建术的结果。方法：回顾性分析1995年至2010年期间所有连续患者，不包括经股动脉手术或孤立的逆行支架置入术。结果：共有11例患者（9例女性，平均年龄65岁）。开放性血运重建包括6例患者的颈动脉内膜切除术，3例患者的颈动脉-锁骨下旁路手术和2例患者的颈动脉-颈动脉旁路手术。没有手术死亡或神经系统事件。所有症状患者均得到改善。在平均24个月的随访中，一名患者发生了颈总动脉（CCA）支架内夹层和经锁骨下颈动脉搭桥术治疗的症状性再狭窄。另外3例患者无症状性颈动脉分叉再狭窄，但无需干预。结论：颈总动脉或无名动脉的逆行支架置入术是一种安全有效的方法，可为某些需要同时行颈总动脉或锁骨下动脉重建的重度主动脉上血管疾病的特定患者提供入流。

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