[Percutaneous transluminal angioplasty (PTA) of the arteries of the arm in brachial and cerebral ischemia].
35 patients with brachial and/or cerebral ischemia underwent 37 PTA's. Indications for PTA were stenosis (n = 31) or occlusion (n = 1) of the subclavian artery, stenosis of the brachiocephalic trunk (n = 2), stenosis of the axillary artery (n = 2) and stenosis of the brachial artery (n = 1). 23 patients demonstrated a subclavian steal phenomenon. However, the minority of patients (n = 10) presented with neurologic symptoms, which could be provoked by brachial exercise in only 3 patients. 7 of the 10 patients with cerebral ischaemia demonstrated additional significant stenosis of the extracranial arteries. The technical success rate for PTA was 89.2%. Two patients showed relapse of the stenosis. The clinical success rate regarding brachial ischaemia was 94.4% (follow-up: 6-37 months). Neurologic symptoms disappeared after treatment in 72.7%. Minor complications without clinical sequelae occurred in 8.6%.
Tesdal
I K
IK
Institut für klinische Radiologie, Klinikum Mannheim, Universität Heidelberg.
Jaschke
W
W
Haueisen
H
H
Menges
H W
HW
Hoffmeister
A W
AW
Huck
K
K
Menges
V
V
Georgi
M
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000800:Angioplasty, Balloon; D001132:Arm / Q000098:blood supply*; D001157:Arterial Occlusive Diseases / Q000628:therapy*; D001366:Axillary Artery; D001916:Brachial Artery; D016122:Brachiocephalic Trunk; D002545:Brain Ischemia / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007511:Ischemia / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D013348:Subclavian Artery; D013997:Time Factors
Perkutane transluminale Angioplastie (PTA) der armversorgenden Arterien bei brachialer und zerebraler Ischämie.