[Percutaneous angioplasty of the innominate artery in 89 patients: experience of 19 years].
OBJECTIVE
To assess retrospectively the success of percutaneous transluminal angioplasty (PTA) in treating innominate artery stenoses and occlusion in a large series of patients with long-term follow-up results.


METHODS
In symptomatic patients with high degree (> 60%) stenosis, innominate artery PTA was performed. Long-term follow-up was undertaken by blood pressure measurements on both arms as well as subclavian, right common carotid and right vertebral duplex scan.


RESULTS
Between 1981 and 1999, primary success rate of 89 innominate artery PTA (84 stenoses, 5 occlusions) was 96.4%. Complications included 1 left occipital lobe infarction (1.5%), 2 puncture-site thrombosis (2.9%), and 4 TIA (5.8%). Two patients with restenosis were successfully treated with rePTA. Cumulative primary patency was 98 +/- 2% at 6 months, 93 +/- 4% at 16 to 117 months, secondary patency was 100% at 6 months, 98 +/- 2% at 12 to 117 months; 61% of the patients became symptomless, 32% improved, 7% showed no improvement.


CONCLUSIONS
Angioplasty of the innominate artery has been proven to be safe and effective on a large series of patients. For innominate artery stenosis and short occlusion, PTA should be the first treatment of choice.
Bérczi
V
V
Semmelweis Egyetem Altalános Orvostudományi Kar, Er- és Szívsebészeti Klinika, 1122 Budapest, Városmajor utca 68.
Entz
L
L
Gellér
L
L
Nemes
B
B
Simonffy
A
A
Hüttl
K
K
D000328:Adult; D000368:Aged; D000792:Angiography; D017130:Angioplasty / Q000009:adverse effects / Q000379:methods; D001132:Arm / Q000098:blood supply*; D001161:Arteriosclerosis / Q000000981:diagnostic imaging / Q000601:surgery*; D016122:Brachiocephalic Trunk / Q000000981:diagnostic imaging / Q000601:surgery*; D002544:Cerebral Infarction / Q000209:etiology; D005260:Female; D006801:Humans; D007383:Intermittent Claudication / Q000601:surgery; D002546:Ischemic Attack, Transient / Q000209:etiology; D008297:Male; D008875:Middle Aged; D009778:Occipital Lobe / Q000098:blood supply; D012008:Recurrence; D012086:Reoperation; D012189:Retrospective Studies; D013927:Thrombosis / Q000209:etiology; D016896:Treatment Outcome