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The Journal of Cardiovascular Surgery 2005 June;46(3):193-200

Copyright © 2009 EDIZIONI MINERVA MEDICA

lingua: Inglese

Endovascular treatment strategies for supra-aortic arterial occlusive disease

Peeters P. 1, Verbist J. 1, Deloose K. 2, Bosiers M. 2

1 Department of Cardiovascular and Thoracic Surgery Imelda Hospital, Bonheiden, Belgium 2 Department of Vascular Surgery AZ St-Blasius, Dendermonde, Belgium


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Because of the focal nature of stenoses or occlusions in the supra-aortic vasculature, the high blood-pressures in this area and the very low morbidity rates related to percutaneous therapy have largely replaced surgical revascularization as the initial treatment of choice for patients with supra-aortic arterial occlusive disease. The initial technical success and durability of percutaneous angioplasty (PTA) and stenting in these lesions is excellent. Nevertheless several factors can make PTA and stenting a complex procedure that requires advanced endovascular skills for a successful outcome. Profound knowledge of surgical reconstruction techniques or extra-anatomic bypasses remains mandatory, as it is occasionally required for failure of endovascular techniques or if contraindications exist.

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