The application of bidirectional subintimal technique in endovascular treatment of subclavian arterial occlusion
10.3969/j.issn.1008-794X.2018.01.004
- VernacularTitle:双向内膜下技术在锁骨下动脉闭塞血管内治疗中的应用
- Author:
Meng YE
1
;
Qihong NI
;
Jiaquan CHEN
;
Xiangjiang GUO
;
Lan ZHANG
Author Information
1. 200126,上海交通大学医学院附属仁济医院血管外科
- Keywords:
subclavian artery occlusion;
endovascular angioplasty;
subintimal technique
- From:Journal of Interventional Radiology
2018;27(1):13-16
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the feasibility and safety of using bidirectional subintimal technique,i.e.subintimal arterial flossing with antegrade-retrograde intervention (SAFARI),in endovascular treatment of subclavian arterial occlusion when the guide wire cannot re-enter into the distal true cavity.Methods The clinical data of 11 patients with symptomatic subclavian artery occlusion,who were admitted to authors' hospital during the period from August 2013 to June 2016 to receive treatment,were retrospectively analyzed.The patients included 8 males and 3 females,with a mean age of 67 years old (61-74 years).Endovascular recanalization of subclavian artery with SAFARI technique and stent implantation were carried out in all patients after conventional reopening surgery of obstructed artery failed.Results Subclavian artery recanalization by using SAFARI technique together with implantation of stent (average length of 46.4 mm) was successfully accomplished in 10 patients,but in one patient the technical management failed,the technical success rate was 90.9％.No serious postoperative complications occurred.The patients were followed up for 6-36 months by telephone,and no in-stent restenosis was verified during the follow-up period.Conclusion In treating severely calcified and long-segmental subclavian artery occlusion,endovascular treatment using SAFARI technique is safe and effective,SAFARI technique can further improve the success rate of endovascular treatment.
