Preliminary experience with new generation balloon expandable stent-graft in the treatment of innominate artery obstructive disease

Autor:	Michele ANTONELLO, Andrea XODO, Francesco SQUIZZATO, Marco ZAVATTA, Carlo MATURI, Michele PIAZZA
Rok vydání:	2022
Předmět:	Male Endovascular Procedures General Medicine Prosthesis Design Blood Vessel Prosthesis Blood Vessel Prosthesis Implantation Treatment Outcome Humans Stents Carotid Stenosis Surgery Cardiology and Cardiovascular Medicine Brachiocephalic Trunk Angioplasty Balloon Retrospective Studies
Zdroj:	The Journal of Cardiovascular Surgery. 63
ISSN:	1827-191X 0021-9509
DOI:	10.23736/s0021-9509.22.12158-0
Popis:	The aim of this study was to describe a single center preliminary experience with the use of a specific balloon expandable stent-graft for the treatment of innominate artery (IA) obstructive lesions.We report our experience with four male patients treated with Gore Viabahn balloon (Gore Medical, Flagstaff, AZ, USA) expandable stent-graft for different types of IA stenosis: three patients were symptomatic for vertebrobasilar insufficiency, while one patient was asymptomatic for cerebrovascular symptoms. The stent grafts were deployed using retrograde (N.=2) or antegrade approach (N.=2), aiming to cover the entire lesions length and to slightly protrude into the aortic arch. Post-dilatation was performed with a compliant balloon. One patient presented a tandem lesion (IA and right internal carotid artery) and after the stenting of the IA he was treated also with a carotid artery stenting during the same procedure.Technical success was achieved in all patients. No perioperative or postoperative complications had been reported and the neurological disorders disappeared for the three symptomatic patients. After a mean clinical and radiological follow-up of 24±5 months, all the stents were patent and perfectly adapted to the vessels.This preliminary clinical experience shows that the use of the Gore Viabahn balloon (Gore Medical) expandable stent-graft seems safe and feasible for the treatment of the IA obstructive lesions, also in presence of irregular plaques and hostile anatomies for an endovascular treatment. Larger experiences and long-term data are mandatory.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::0ff3bca527d7968bfad85aaa87c10f9d https://doi.org/10.23736/s0021-9509.22.12158-0 Zobrazit plný text záznamu