Endovascular treatment strategies for supra-aortic arterial occlusive disease.
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.
Peeters
P
P
Department of Cardiovascular and Thoracic Surgery Imelda Hospital, Bonheiden, Belgium. patrick.peeters@imelda.be
Verbist
J
J
Deloose
K
K
Bosiers
M
M
D000792:Angiography; D016893:Carotid Stenosis / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D017410:Practice Guidelines as Topic; D013349:Subclavian Steal Syndrome / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*