Arterial occlusive disease involving the supra-aortic trunks (SATs) is relatively frequent. Its mere presence does not dictate the need for intervention. Revascularization options include intra and extrathoracic surgical bypasses and transpositions, and percutaneous endovascular approaches with angioplasty and stenting. This paper focuses on a description of the fundamental endovascular techniques and equipment that have proved useful in the senior author's (FJC) 15-year experience with catheter-based intervention for treatment of SAT disease. These procedures have gained in popularity over the years and become the preferred modality for management of most patients today.
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References
1.
Criado FJ, Twena M: Techniques for endovascular recanalization of the supra-aortic trunks. J Endovasc Surg3:405-413, 1996.
2.
Motarjeme A: Percutaneous transluminal angioplasty of the supra-aortic vessels. J Endovasc Surg3:171-181, 1996.
3.
Sullivan TM, Gray BH, Bacharach JM, et al: Angioplasty and primary stenting of the subclavian, innominate, and common carotid arteries in 83 patients. J Vasc Surg28:1059-1065, 1998.
4.
Henry M, Amor M, Henry I, et al: Percutaneous transluminal angioplasty of the subclavian arteries. J Endovasc Surg6:33-41, 1999.
5.
Berguer R, Morasch M, Kline R: Transthoracic repair of innominate and common carotid artery disease: Immediate and long-term outcome for 100 consecutive surgical reconstructions. J Vasc Surg27:34-42, 1998.
