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11:58
Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
Subclavian artery aneurysms: management implications in a resource-limited setting
Iram Naz1, Zia-ur-Rehman, Munira Aziz
1Section of Vascular Surgery, Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan. imaz786@hotmail.com
Vascular
|January 25, 2012
Summary
Surgical management of subclavian artery aneurysms (SCAA) is effective, with no perioperative mortality and a 100% early patency rate in this study. This approach is recommended for patients with SCAA.
Area of Science:
- Vascular Surgery
- Aneurysm Management
Background:
- Subclavian artery aneurysms (SCAA) are rare but pose significant risks including rupture, thrombosis, and embolism.
- Untreated SCAA can lead to severe complications affecting the upper extremity.
Purpose of the Study:
- To describe the etiology, presentation, and surgical outcomes of patients with SCAA.
- To evaluate the effectiveness of surgical intervention for SCAA.
Main Methods:
- Retrospective review of 10 patients with SCAA treated between 1990 and 2010.
- Surgical management included aneurysm resection and reconstruction with grafts (saphenous vein or synthetic).
- Combined supra- and infraclavicular incisions were used in most cases.
Main Results:
- The mean patient age was 43.7 years (7 men, 3 women).
- Etiologies included trauma (5), thoracic outlet syndrome (4), and atherosclerosis (1).
- Presentations involved ischemic symptoms (5) or pulsatile neck mass (5).
- No perioperative mortality was observed.
- Early patency rate was 100% post-surgery.
Conclusions:
- Surgical treatment for SCAA is effective and safe.
- Surgical intervention is recommended for the majority of patients diagnosed with SCAA.
- Prompt surgical management can prevent serious complications.
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