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Simultaneous vertebral and subclavian artery stenting

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Simultaneous vertebral and subclavian artery stenting

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dc.contributor.author Maciejewski, Damian R. pl
dc.contributor.author Tekieli, Łukasz pl
dc.contributor.author Machnik, Roman pl
dc.contributor.author Kabłak-Ziembicka, Anna [SAP20002416] pl
dc.contributor.author Przewłocki, Tadeusz [SAP20001929] pl
dc.contributor.author Paluszek, Piotr pl
dc.contributor.author Trystuła, Mariusz [SAP20013335] pl
dc.contributor.author Musiał, Robert pl
dc.contributor.author Dzierwa, Karolina pl
dc.contributor.author Odrowąż-Pieniążek, Piotr [SAP20001575] pl
dc.date.accessioned 2020-01-17T09:17:48Z
dc.date.available 2020-01-17T09:17:48Z
dc.date.issued 2017 pl
dc.identifier.issn 1734-9338 pl
dc.identifier.uri https://ruj.uj.edu.pl/xmlui/handle/item/141240
dc.language eng pl
dc.rights Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Na tych samych warunkach 4.0 Międzynarodowa *
dc.rights.uri http://creativecommons.org/licenses/by-nc-sa/4.0/pl/legalcode *
dc.title Simultaneous vertebral and subclavian artery stenting pl
dc.type JournalArticle pl
dc.description.physical 142-149 pl
dc.abstract.en Introduction: Vertebrobasilar territory ischemia leads to disabling neurological symptoms and may be caused both by vertebral artery (VA) and subclavian artery (SA) stenosis. The coexisting symptomatic ipsilateral VA and proximal SA stenosis should be considered as a true bifurcation lesion for percutaneous treatment. Aim: To evaluate the safety and efficacy of simultaneous angioplasty of vertebral and subclavian stenosis. Material and methods: Fifteen patients (age 69.5 years, 46.7% men, all symptomatic from posterior circulation (history of stroke, transient ischemic attack, chronic ischemia symptoms)) were scheduled for simultaneous SA/VA angioplasty. Clinical and duplex ultrasound follow-up was conducted 1, 6 and 12 months after the procedure. Results: The technical success rate was 100%. Single balloon-mounted stent angioplasty was performed for all VAs and for 13 (86.7%) SAs. In 4 cases a simultaneous radial and femoral approach was required. The mean North American Symptomatic Carotid Endarterectomy Trial (NASCET) VA stenosis was reduced from 88.7 ±9.7% to 5.7 ±6.8% and SA stenosis from 80 ±12.2% to 11 ±12.3% (p < 0.01). No periprocedural death, stroke, myocardial infarction or transient ischemic attack occurred. During follow-up (range: 6–107 months) in 10 of 15 (66.7%) patients relief of chronic ischemic symptoms was observed. No stroke/TIA occurred. One cardiovascular and 2 non-cardiovascular deaths were recorded. There was 1 symptomatic vertebral and 1 subclavian in-stent restenosis, and 2 cases of asymptomatic VA in-stent occlusion occurred. Conclusions: Simultaneous vertebral and subclavian artery stenting is safe and effective. The restenosis rate remains at an acceptable level and it may be treated successfully with drug-eluting balloon angioplasty. In selected patients a dual radial and femoral approach may facilitate the procedure. pl
dc.subject.en vertebral artery stenting pl
dc.subject.en subclavian artery stenting pl
dc.subject.en simultaneous angioplasty pl
dc.description.volume 13 pl
dc.description.number 2 (48) pl
dc.description.points 15 pl
dc.identifier.doi 10.5114/pwki.2017.68052 pl
dc.identifier.eissn 1897-4295 pl
dc.title.journal Postępy w Kardiologii Interwencyjnej pl
dc.language.container eng pl
dc.affiliation Wydział Lekarski : Instytut Kardiologii pl
dc.subtype Article pl
dc.rights.original CC-BY-NC-SA; otwarte czasopismo; ostateczna wersja wydawcy; w momencie opublikowania; 0 pl
dc.identifier.project ROD UJ / OP pl
dc.cm.id 84797
dc.cm.date 2020-01-07
.pointsMNiSW [2017 A]: 15


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Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Na tych samych warunkach 4.0 Międzynarodowa Except where otherwise noted, this item's license is described as Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Na tych samych warunkach 4.0 Międzynarodowa