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쇄골하동맥 스텐트 삽입술의 조기결과

Other Titles
 Early Results of Subclavian Artery Stenting 
Authors
 편욱범  ;  윤영섭  ;  최동훈  ;  장양수  ;  심원흠 
Citation
 Korean Circulation Journal (순환기), Vol.29(5) : 481-486, 1999 
Journal Title
KOREAN CIRCULATION JOURNAL(순환기)
ISSN
 1738-5520 
Issue Date
1999
Keywords
Subclavian artery stenosis ; Percutaneous intervention
Abstract
Background and Objectives : Though the surgical intervention of subclavian artery stenosis has been effective, its high morbidity and mortality have limited its clinical application. In 1980 percutaneous balloon angioplasty of stenotic artery was introduced as a substitute for surgical intervention and subsequent reports have supported its efficacy noting that it is more effective when combined with stent. The purpose of this study was to assess the feasibility, safety, and efficacy of percutaneous intervention as an alternative or primary therapy for symptomatic subclavian artery stenosis.

Methods : Between September 1993 and October 1998, 17 lesions in 16 patients of symptomatic subclavian artery stenosis were enrolled as candidates for nonsurgical intervention. We performed percutaneous balloon angioplasty with stenting to the subclavian artery stenosis and evaluated the early results.

Results : 1)The patients had a mean age of 55±14 years and 13 of 16 patients were male. 2)Subclavian artery stenting was successful in 94% (16/17) of the lesion without significant complications. The cause of failure was suboptimal result after deployment of stent. 3)The types of stents deployed were Strecker stents in 4, Palmaz stents in 8, Wall stents in 3 and Jo stents in 2 cases. 4)The peak and mean pressure gradient reduced from 58.5±17.0 to 8.5±7.4 and 31.4±13.0 to 4.7±5.5 mmHg respectively (p<0.01) and the degree of luminal stenosis decreased from 92.5±8.5% to 10.0±14.3%. (p<0.01)

Conclusion : Subclavian artery stenosis can be managed safely and effectively through percutaneous balloon angioplasty with stenting, with an excellent technical success rate and less morbidity and mortality particularly in patients coexisting other vascular and systemic diseases. However, the long-term patency and clinical effects should be warranted.
Files in This Item:
T199901400.pdf Download
DOI
10.4070/kcj.1999.29.5.481
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Shim, Won Heum(심원흠)
Jang, Yang Soo(장양수) ORCID logo https://orcid.org/0000-0002-2169-3112
Choi, Dong Hoon(최동훈) ORCID logo https://orcid.org/0000-0002-2009-9760
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/172635
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