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[Balloon angioplasty of branches of the aortic arch]

M Krzanowski1, W Bodzoń, R Nizankowski

  • 1Katedra Chorób Wewnetrznych Collegium Medicum UJ w Krakowie.

Polskie Archiwum Medycyny Wewnetrznej
|August 19, 2000
PubMed

Insights

Balloon angioplasty is a safe and effective treatment for symptomatic brachiocephalic stenoses, offering good outcomes. However, recanalizing occlusions is more challenging and carries higher risks.

Area of Science:

  • Vascular Surgery
  • Interventional Cardiology

Context:

  • Brachiocephalic occlusive disease significantly impacts patient health, leading to conditions like chronic limb ischemia and vertebrobasilar insufficiency.
  • Balloon angioplasty is increasingly utilized as a primary treatment for these symptomatic lesions.

Purpose:

  • To evaluate the efficacy and safety of balloon angioplasty in treating brachiocephalic occlusive disease.
  • To analyze outcomes in patients with various indications, including chronic limb ischemia, vertebrobasilar insufficiency, and ischemic stroke.

Summary:

  • The study reviewed 16 patients (18 vessels) treated with balloon angioplasty, with a femoral approach used predominantly.
  • Successful lesion crossing was achieved in all stenoses and 4 of 6 occlusions. Residual stenosis was <30% in 10 patients, and transstenotic gradients were relieved in 11.
  • Stents were used in 4 cases with poor angioplasty results. Complications included two cases of acute upper limb ischemia and reversible ulnar nerve paresis.

Impact:

  • Balloon angioplasty demonstrates ease of use, safety, and effectiveness for brachiocephalic stenoses.
  • Recanalization of occlusions presents greater difficulty and risk, suggesting treatment of stenoses should not be delayed.
  • Timely intervention for stenotic lesions is recommended, reserving recanalization for advanced disease symptoms.

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