Skip to main content

Upper Limb Arterial Intervention

  • Chapter
Book cover Vascular Interventional Radiology

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

  • 1558 Accesses

10.6 Conclusion

The circulation of the upper limb can be affected by a broad variety of disorders. However, upper limb arterial disease is markedly less common than that seen in the lower limb. As a result, firm evidence regarding how specific lesions and disorders should be treated is often lacking. It would appear, however, that use of endovascular techniques in the management of upper limb arterial stenoses and occlusions is associated with fewer complications than open surgery, with acceptable clinical rates. Endovascular therapy is however not suitable for the treatment of TOS, because some form of surgical decompression is required.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Ackermann H, Diener H, Seboldt H et al (1988) Ultrasonographic follow-up of subclavian stenosis and occlusion: natural history and surgical treatment. Stroke 19:431–435

    PubMed  CAS  Google Scholar 

  • Becker G, Katzen B, Dake M (1989) Noncoronary Angioplasty. Radiology 170:921–940

    PubMed  CAS  Google Scholar 

  • Berguer R, Morasch M, Kline R (1998) Transthoracic repair of innominate and common carotid artery disease: immediate and long-term outcome for 100 consecutive surgical reconstructions. J Vasc Surg 27:34–41; discussion 42

    Article  PubMed  CAS  Google Scholar 

  • Broadbent LP, Moran CJ, Cross DT 3rd et al (2003) Management of ruptures complicating angioplasty and stenting of supraaortic arteries: report of two cases and a review of the literature. Am J Neuroradiol 24:2057–2061

    PubMed  Google Scholar 

  • Brountzos EN, Petersen B, Binkert C et al (2004) Primary stenting of subclavian and innominate artery occlusive disease: a single centre’s experience. Cardiovasc Intervent Radiol 27:616–623

    Article  PubMed  CAS  Google Scholar 

  • Cejna M, Salomonowitz E, Wohlschlager H et al (2001) rt-PA thrombolysis in acute thromboembolic upper-extremity arterial occlusion. Cardiovasc Intervent Radiol 24:218–223

    Article  PubMed  CAS  Google Scholar 

  • Cinar B, Enc Y, Kosem M et al (2004) Carotid-subclavian bypass in occlusive disease of the subclavian artery: more important today than before. Tohoko J Exp Med 204:53–56

    Article  Google Scholar 

  • Coulon M, Goffette P, Dondelinger R (1994) Local thrombolytic infusion in arterial ischaemia of the upper limb: midterm results. Cardiovasc Intervent Radiol 17:81–86

    Article  PubMed  CAS  Google Scholar 

  • Davidovic LB, Kostic DM, Jakovljevic NS et al (2003) Vascular thoracic outlet syndrome. World J Surg 27:545–550

    Article  PubMed  Google Scholar 

  • Diethrich E, Cozacov J (1995) Subclavian stent implantation to alleviate coronary steal through a patent internal mammary artery graft. J Endovasc Surg 2:77–80

    Article  PubMed  CAS  Google Scholar 

  • Dinkel H-P, Eckstein FS, Triller J et al (2002) Emergent axillary artery stent-graft placement for massive haemorrhage from an avulsed subscapular artery. J Endovasc Ther 9:129–133

    Article  PubMed  Google Scholar 

  • De Vries J-P P, Jager LC, Van den Berg JC et al (2005) Durability of percutaneous transluminal angioplasty for obstructive lesions of proximal subclavian artery: long-term results. J Vasc Surg 41:19–23

    Article  PubMed  Google Scholar 

  • Duber C, Klose KJ, Kopp H et al (1992) Percutaneous transluminal angioplasty for occlusion of the subclavian artery: short-and long-term results. Cardiovasc Intervent Radiol 15:205–210

    PubMed  CAS  Google Scholar 

  • Eyers P, Earnshaw J (1998) Acute non-traumatic arm ischaemia. Br J Surg 85:1340–1346

    Article  PubMed  CAS  Google Scholar 

  • Farina C, Mingoli A, Schultz RD et al (1989) Percutaneous transluminal angioplasty versus surgery for subclavian artery occlusive disease. Am J Surg 158:511–514

    Article  PubMed  CAS  Google Scholar 

  • Gaines PA, Swarbrick MJ, Lopez AJ et al (1999) The endovascular management of blue finger syndrome. Eur J Vasc Endovasc Surg 17:106–110

    Article  PubMed  CAS  Google Scholar 

  • Harjola P, Valle M (1974) The importance of aortic arch or subclavian angiography before coronary reconstruction. Chest 66:436–438

    PubMed  CAS  Google Scholar 

  • Hebrang A, Maškovic’ J, Tomac B (1991) Percutaneous transluminal angioplasty of the subclavian arteries: long-term results in 52 patients. AJR Am J Roentgenol 156:1091–1094

    PubMed  CAS  Google Scholar 

  • Henry M, Amor M, Henry I et al (1999) Percutaneous transluminal angioplasty of the subclavian arteries. J Endovasc Surg 6:33–41

    Article  PubMed  CAS  Google Scholar 

  • Hernandez-Richter T, Angele MK, Helmberger T et al (2001) Acute ischaemia of the upper extremity: long-term results following thromboembolectomy with the Fogarty catheter. Langenbeck’s Arch Surg 386:261–266

    Article  CAS  Google Scholar 

  • Hilfiker PR, Razavi MK, Kee ST et al (2000) Stent-graft therapy for subclavian artery aneurysms and fistulas: single-centre mid-term results. J Vasc Interv Radiol 11:578–584

    PubMed  CAS  Google Scholar 

  • Jindal R, Wolfe J (2005) Subclavian and axillary artery stenosis: vascular options. In: Greenhalgh R (ed) Towards vascular and endovascular consensus. BIBA Medical Publishers Ltd, London, pp 78–92

    Google Scholar 

  • Johnson SP, Durham JD, Subber SW et al (1999) Acute arterial occlusion of the small vessels of the hand and forearm: treatment with regional urokinase therapy. J Vasc Interv Radiol 10:869–876

    PubMed  CAS  Google Scholar 

  • Joseph S, Mandalam KR, Rao VR et al (1994) Percutaneous transluminal angioplasty of the subclavian artery in nonspecific aortitis: results of long-term follow-up. J Vasc Interv Radiol 5:573–580

    Article  PubMed  CAS  Google Scholar 

  • Kandarpa K, Becker GJ, Hunink MG et al (2001) Transcatheter interventions for the treatment of peripheral atherosclerotic lesions: Part I. J Vasc Interv Radiol 12:683–695

    PubMed  CAS  Google Scholar 

  • Kaufman J (2004) Upper extremity arteries. In: Kaufman J, Lee M (eds) Vascular and interventional radiology: the requisites. Mosby, Philadelphia, pp 142–162

    Google Scholar 

  • Kerr GS, Hallahan CW, Giordano J et al (1994) Takayasu arteritis. Ann Intern Med 120:919–929

    PubMed  CAS  Google Scholar 

  • Lacroix V, Astarci P, Phillippe D et al (2003) Endovascular treatment of an aneurysmal aberrant right subclavian artery. J Endovasc Ther 10:190–195

    Article  PubMed  Google Scholar 

  • Law MM, Colburn MD, Moore WS et al (1995) Carotidsubclavian bypass for brachiocephalic occlusive disease: choice of conduit and long-term follow-up. Stroke 26:1565–1571

    PubMed  CAS  Google Scholar 

  • Licht PB, Balezantis T, Wolff B et al (2004) Long-term outcome following thrombembolectomy in the upper extremity. Eur J Vasc Endovasc Surg 28:508–512

    Article  PubMed  CAS  Google Scholar 

  • Lin PH, Bush RL, Weiss VJ et al (2000) Subclavian artery disruption from endovascular intervention: treatment options. J Vasc Surg 32:607–611

    Article  PubMed  CAS  Google Scholar 

  • Liu P, Perreault P, Otal P et al (1998) Endovascular stents in arterial injury after radiotherapy. J Tongii Med Univ 18:253–256, 261

    Article  CAS  Google Scholar 

  • Martinez R, Rodriguez-Lopez J, Torruella L et al (1997) Stenting for occlusion of the subclavian arteries. Tex Heart Inst J 24:23–27

    PubMed  CAS  Google Scholar 

  • Mašković J, Janković S, Lušić I et al (1999) Subclavian artery stenosis caused by non-specific arteritis (Takayasu disease): treatment with Palmaz stent. Eur J Radiol 31:193–6

    Article  PubMed  Google Scholar 

  • Mathias K, Schlosser V, Reinke M (1980) Catheterisation of subclavian occlusions. Rofo 132:346–347

    PubMed  CAS  Google Scholar 

  • McBride K, Beard J, Gaines P (1994) Percutaneous intervention for radiation damage to axillary arteries. Clin Radiol 49:630–633

    Article  PubMed  CAS  Google Scholar 

  • Miller-Fischer C (1961) A new vascular syndrome — ‘the subclavian steal’. N Engl J Med 265:912–913

    Article  Google Scholar 

  • Motarjeme A (1996) Percutaneous transluminal angioplasty of supra-aortic vessels. J Endovasc Surg 3:171–181

    Article  PubMed  CAS  Google Scholar 

  • Nicholson T, Ettles D, Robinson G (2004) Managing inadvertent arterial catheterisation during central venous procedures. Cardiovasc Intervent Radiol 27:21–25

    PubMed  Google Scholar 

  • Phipp LH, Scott DJ, Kessel D et al (1999) Subclavian stents and stent-grafts: cause for concern? J Endovasc Surg 6:223–226

    Article  PubMed  CAS  Google Scholar 

  • Rigberg D, Freischlag J (2004) Thoracic outlet syndrome. In: Hallett J, Mills J, Earnshaw J, Reekers J (eds) Comprehensive vascular and endovascular surgery. Mosby, Philadelphia, pp 267–284

    Google Scholar 

  • Ringelstein E, Zeumer H (1984) Delayed reversal of vertebral artery blood flow following percutaneous transluminal angioplasty for treatment of subclavian steal syndrome. Neuroradiology 26:189–198

    Article  PubMed  CAS  Google Scholar 

  • Rodriguez-Lopez JA, Werner A, Martinez R et al (1999) Stenting for atherosclerotic occlusive disease of the subclavian artery. Ann Vasc Surg 13:254–260

    Article  PubMed  CAS  Google Scholar 

  • Sadato A, Satow T, Ishii A et al (2004) Endovascular recanalisation of subclavian artery occlusions. Neurol Med Chir (Tokoyo) 44:447–455

    Article  Google Scholar 

  • Salo JA, Ala-Kulju K, Heikkinen L et al (1990) Diagnosis and treatment of subclavian artery aneurysms. Eur J Vasc Surg 4:271–274

    Article  PubMed  CAS  Google Scholar 

  • Schillinger M, Haumer M, Schillinger S et al (2001) Risk stratification for subclavian artery angioplasty: is there an increased rate of restenosis after stent implantation? J Endovasc Ther 8:550–557

    Article  PubMed  CAS  Google Scholar 

  • Schoder M, Cejna M, Hölzenbein T et al (2003) Elective and emergent endovascular treatment of subclavian artery aneurysms and injuries. J Endovasc Ther 10:58–65

    Article  PubMed  Google Scholar 

  • Sharma BK, Jain S, Bali HK et al (2000) A follow-up study of balloon angioplasty and de-novo stenting in Takayasu arteritis. Int J Cardiol 75:S147–S152

    Article  PubMed  Google Scholar 

  • Strauss D, du Toit D, Warren B. (2001) Endovascular repair of occluded subclavian arteries following penetrating trauma. J Endovasc Ther 8:529–533

    Article  PubMed  CAS  Google Scholar 

  • Sultan S, Evoy D, Eldin AS et al (2001) Atraumatic acute upper limb ischaemia: a series of 64 patients in a Middle East tertiary vascular centre and literature review. Vasc Surg 35:181–197

    PubMed  CAS  Google Scholar 

  • Tyagi S, Verma PK, Gambhir DS et al (1998) Early and longterm results of subclavian angioplasty in aortoarteritis (Takayasu disease): comparison with atherosclerosis. Cardiovasc Intervent Radiol 21:219–224

    Article  PubMed  CAS  Google Scholar 

  • Vitek J (1989) Subclavian artery angioplasty and the origin of the vertebral artery. Radiology 170:407–409

    PubMed  CAS  Google Scholar 

  • Westerband A, Rodriguez-Lopez JA, Ramaiah VG et al (2003) Endovascular therapy in prevention and management of coronary-subclavian steal. J Vasc Surg 38:699–704

    Article  PubMed  Google Scholar 

  • Wittwer T, Wahlers T, Dresler C et al (1998) Carotid-subclavian bypass for subclavian artery revascularisation: long-term follow-up and effects of antiplatelet therapy. Angiology 49:279–287

    Article  PubMed  CAS  Google Scholar 

  • Ziomek S, Quinones-Baldrich WJ, Busuttil RW et al (1986) The superiority of synthetic arterial grafts over autologous veins in carotid-subclavian bypass. J Vasc Surg 3:140–145

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2007 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Turner, D.R., Thomas, S.M. (2007). Upper Limb Arterial Intervention. In: Cowling, M.G. (eds) Vascular Interventional Radiology. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-33255-8_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-33255-8_10

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-22259-0

  • Online ISBN: 978-3-540-33255-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics