Objective To discuss the application of run?through wire stretch
technique in the
procedure of endovascular
therapy for complex
subclavian artery occlusive
diseases.
Methods The clinical data of 22
patients who were diagnosed complex
subclavian artery occlusive
diseases were retrospectively analyzed from June 2013 to January 2016 in
vascular surgery department of Wangjing
Hospital .The
patients were treated endovascular
therapy using run?through wire stretch
technique in all
procedures successfully. Results The complex
subclavian artery occlusive
diseases were including long segment occlusion of the left
subclavian artery and ostial
stenosis or occlusion of the right
subclavian artery. The left
subclavian artery occlusion
patients was 16 and right
subclavian artery ostial
stenosis or occlusion was 6. The technical success rate was 100%. All
patients were using combination of
femoral artery and
brachial artery approach. Run?through wire stretch
technique was used in the
procedure of endovascular
therapy, which had improved the technical success rate. After the
treatment the symptom improvement rate was 88%. The symptoms of
upper limb and posterior circulation
ischemia were improved. Conlusion
Upper limb artery combined
femoral artery approachand run?through wire stretch
technique can improve the recanalization in the
procedure of endovascular
therapy for complex
subclavian artery occlusive
diseases.