PURPOSE: To report the endovascular repair of rare true aneurysms of the subclavian artery in patients with degenerative connective tissue disorders. CASE REPORTS: Two patients, one with Marfan syndrome and the other with idiopathic cystic medial necrosis, presented with 3 subclavian artery aneurysms. A Wallgraft and 2 Viabahn covered stents were used to successfully exclude these aneurysms. After 3 months, the Wallgraft thrombosed, but the contralateral Viabahn remained patent at the most recent examination 13 months after treatment. The other patient with the unilateral aneurysm had a patent Viabahn stent-graft at 10 months. CONCLUSIONS: Patients with degenerative connective tissue disorders may benefit from less invasive treatment with stent-grafts. The more flexible Viabahn stent-graft may be better able to adapt to arterial tortuosity. However, the long-term results of this new technique have not yet been established.
PURPOSE: To report the endovascular repair of rare true aneurysms of the subclavian artery in patients with degenerative connective tissue disorders. CASE REPORTS: Two patients, one with Marfan syndrome and the other with idiopathic cystic medial necrosis, presented with 3 subclavian artery aneurysms. A Wallgraft and 2 Viabahn covered stents were used to successfully exclude these aneurysms. After 3 months, the Wallgraft thrombosed, but the contralateral Viabahn remained patent at the most recent examination 13 months after treatment. The other patient with the unilateral aneurysm had a patent Viabahn stent-graft at 10 months. CONCLUSIONS:Patients with degenerative connective tissue disorders may benefit from less invasive treatment with stent-grafts. The more flexible Viabahn stent-graft may be better able to adapt to arterial tortuosity. However, the long-term results of this new technique have not yet been established.
Authors: Hong Gun Bin; Myoung Sook Kim; Seok Chan Kim; Jong Bum Keun; Jong Ho Lee; Seung Soo Kim Journal: J Korean Med Sci Date: 2005-08 Impact factor: 2.153
Authors: Sung Soo Kim; Myung Ho Jeong; Ji Eun Kim; Yi Rang Yim; Hyuk Jin Park; Seung Hun Lee; Shi Hyun Rhew; Young Wook Jeong; Ju Han Kim; Jeong Gwan Cho; Jong Chun Park Journal: Chonnam Med J Date: 2014-08-20