Baylor University Medical Center Proceedings October 2017 - 432

and showed multifocal obstructive atherosclerotic lesions of the
axillary arteries bilaterally. Serologic studies had been negative
for an underlying inflammatory and/or autoimmune process
with the exception of a mildly elevated erythrocyte sedimentation rate. The patient underwent upper-extremity angiography, confirming the sonographic and CT angiography findings
(Figure 1a). Given optimal medical therapy and refractory right
arm claudication, the patient opted for endovascular therapy.

A 6Fr 90 cm Cook sheath was advanced via the left common femoral artery into the right brachiocephalic trunk for
endovascular intervention using standard sheath delivery techniques. Unfractionated heparin with a goal partial thromboplastin time of 250 to 300 seconds was given. The lesions in
the axillary artery were crossed using a 0.018˝ gold-tip Glidewire
(Terumo Medical Corp., Somerset, NJ). The 0.018˝ glidewire
was exchanged for a supportive 0.035˝ SupraCore wire (Abbott,

Table 1. Summary of published data on patency rates of upper-extremity revascularization
First author (Ref)

Year

Number of patients/
narrowings

Follow-up
in months

Lowman (11)

1983

10/10

13

Subclavian and innominate

PTA

90%

Wilms (12)

1987

22/23

25

Subclavian

PTA

82%

Burke (13)

1987

27/30

36

Subclavian, innominate, and vertebral

PTA

NA

Cook (14)

1989

6/6

18

Subclavian

PTA

83%

Jaschke (15)

1989

12/12

12

Subclavian, innominate, and axillary

PTA

91%

Qi (16)

1991

125/125

46

Subclavian and vertebral

PTA

99%

Hebrang (17)

1991

52/52

29

Subclavian

PTA

91%

Perrault (18)

1993

11/11

38

Subclavian

PTA

100%

Millaire (19)

1993

50/50

41

Subclavian

PTA

86%

Kumar (20)

1995

27/31

NA

Subclavian

Stent

NA

Motarjeme (21)

1996

112/151

60

Innominate, subclavian, carotid, and vertebral

PTA

97%

Martinez (22)

1997

17/17

19.4

Subclavian

Stent

81%

Rodriguez-Lopez (9)

1999

69/70

13

Subclavian

Stent

73%

Körner (23)

1999

37/43

15

Subclavian and innominate

PTA

72%

Schillinger (24)

2001

115/115

44

Subclavian

PTA ± stent

59%

González (25)

2002

9/9

37.4

Subclavian

PTA

89%

Angle (26)

2003

21/21

27

Subclavian

PTA ± stent

79%

Modarai (3)

2004

41/41

48

Subclavian and innominate

PTA ± stent

82%

Amor (27)

2004

86/89

42

Subclavian

Stent

81%

De Vries (5)

2005

110/110

34

Subclavian

PTA ± stent

88%

Filippo (28)

2006

42/42

60

Subclavian

Stent

71%

Przewlocki (29)

2006

75/76

24.4

Subclavian and innominate

PTA ± stent

77%

Sakai (30)

2007

26/28

6

Subclavian

Stent

100%

Abu Rahma (31)

2007

121/121

41

Subclavian

PTA ± stent

70%

Subclavian and brachiocephalic

PTA ± stent

76%

Subclavian

Stent

95%

Narrowest artery

Revascularization

Patency

Van Noord (32)

2007

43/43

12

Linni (33)

2008

40/40

50.1

Sixt (4)

2009

107/108

12

Subclavian and brachiocephalic

PTA ± stent

88%

Yu (34)

2010

14/14

12

Subclavian

Stent

93%

Wang (35)

2010

59/61

40.7

Subclavian

Stent

85%

Song (36)

2012

148/148

67

Subclavian

Stent

49%

Babic (37)

2012

56/56

40

Subclavian

Stent

83%

Li (38)

2013

71/71

27

Subclavian

Stent

85%

Higashimori (39)

2013

59/60

49

Subclavian

Stent

86%

Almeida (40)

2014

16/16

12

Subclavian

Stent

100%

Che (41)

2016

167/167

60.6

Subclavian

Stent

87%

NA indicates not available; PTA, percutaneous transluminal angioplasty.

432

Baylor University Medical Center Proceedings

Volume 30, Number 4



Table of Contents for the Digital Edition of Baylor University Medical Center Proceedings October 2017

No label
Baylor University Medical Center Proceedings October 2017 - No label
Baylor University Medical Center Proceedings October 2017 - Cover2
Baylor University Medical Center Proceedings October 2017 - 393
Baylor University Medical Center Proceedings October 2017 - 394
Baylor University Medical Center Proceedings October 2017 - 395
Baylor University Medical Center Proceedings October 2017 - 396
Baylor University Medical Center Proceedings October 2017 - 397
Baylor University Medical Center Proceedings October 2017 - 398
Baylor University Medical Center Proceedings October 2017 - 399
Baylor University Medical Center Proceedings October 2017 - 400
Baylor University Medical Center Proceedings October 2017 - 401
Baylor University Medical Center Proceedings October 2017 - 402
Baylor University Medical Center Proceedings October 2017 - 403
Baylor University Medical Center Proceedings October 2017 - 404
Baylor University Medical Center Proceedings October 2017 - 405
Baylor University Medical Center Proceedings October 2017 - 406
Baylor University Medical Center Proceedings October 2017 - 407
Baylor University Medical Center Proceedings October 2017 - 408
Baylor University Medical Center Proceedings October 2017 - 409
Baylor University Medical Center Proceedings October 2017 - 410
Baylor University Medical Center Proceedings October 2017 - 411
Baylor University Medical Center Proceedings October 2017 - 412
Baylor University Medical Center Proceedings October 2017 - 413
Baylor University Medical Center Proceedings October 2017 - 414
Baylor University Medical Center Proceedings October 2017 - 415
Baylor University Medical Center Proceedings October 2017 - 416
Baylor University Medical Center Proceedings October 2017 - 417
Baylor University Medical Center Proceedings October 2017 - 418
Baylor University Medical Center Proceedings October 2017 - 419
Baylor University Medical Center Proceedings October 2017 - 420
Baylor University Medical Center Proceedings October 2017 - 421
Baylor University Medical Center Proceedings October 2017 - 422
Baylor University Medical Center Proceedings October 2017 - 423
Baylor University Medical Center Proceedings October 2017 - 424
Baylor University Medical Center Proceedings October 2017 - 425
Baylor University Medical Center Proceedings October 2017 - 426
Baylor University Medical Center Proceedings October 2017 - 427
Baylor University Medical Center Proceedings October 2017 - 428
Baylor University Medical Center Proceedings October 2017 - 429
Baylor University Medical Center Proceedings October 2017 - 430
Baylor University Medical Center Proceedings October 2017 - 431
Baylor University Medical Center Proceedings October 2017 - 432
Baylor University Medical Center Proceedings October 2017 - 433
Baylor University Medical Center Proceedings October 2017 - 434
Baylor University Medical Center Proceedings October 2017 - 435
Baylor University Medical Center Proceedings October 2017 - 436
Baylor University Medical Center Proceedings October 2017 - 437
Baylor University Medical Center Proceedings October 2017 - 438
Baylor University Medical Center Proceedings October 2017 - 439
Baylor University Medical Center Proceedings October 2017 - 440
Baylor University Medical Center Proceedings October 2017 - 441
Baylor University Medical Center Proceedings October 2017 - 442
Baylor University Medical Center Proceedings October 2017 - 443
Baylor University Medical Center Proceedings October 2017 - 444
Baylor University Medical Center Proceedings October 2017 - 445
Baylor University Medical Center Proceedings October 2017 - 446
Baylor University Medical Center Proceedings October 2017 - 447
Baylor University Medical Center Proceedings October 2017 - 448
Baylor University Medical Center Proceedings October 2017 - 449
Baylor University Medical Center Proceedings October 2017 - 450
Baylor University Medical Center Proceedings October 2017 - 451
Baylor University Medical Center Proceedings October 2017 - 452
Baylor University Medical Center Proceedings October 2017 - 453
Baylor University Medical Center Proceedings October 2017 - 454
Baylor University Medical Center Proceedings October 2017 - 455
Baylor University Medical Center Proceedings October 2017 - 456
Baylor University Medical Center Proceedings October 2017 - 457
Baylor University Medical Center Proceedings October 2017 - 458
Baylor University Medical Center Proceedings October 2017 - 459
Baylor University Medical Center Proceedings October 2017 - 460
Baylor University Medical Center Proceedings October 2017 - 461
Baylor University Medical Center Proceedings October 2017 - 462
Baylor University Medical Center Proceedings October 2017 - 463
Baylor University Medical Center Proceedings October 2017 - 464
Baylor University Medical Center Proceedings October 2017 - 465
Baylor University Medical Center Proceedings October 2017 - 466
Baylor University Medical Center Proceedings October 2017 - 467
Baylor University Medical Center Proceedings October 2017 - 468
Baylor University Medical Center Proceedings October 2017 - 469
Baylor University Medical Center Proceedings October 2017 - 470
Baylor University Medical Center Proceedings October 2017 - 471
Baylor University Medical Center Proceedings October 2017 - 472
Baylor University Medical Center Proceedings October 2017 - 473
Baylor University Medical Center Proceedings October 2017 - 474
Baylor University Medical Center Proceedings October 2017 - 475
Baylor University Medical Center Proceedings October 2017 - 476
Baylor University Medical Center Proceedings October 2017 - 477
Baylor University Medical Center Proceedings October 2017 - 478
Baylor University Medical Center Proceedings October 2017 - 479
Baylor University Medical Center Proceedings October 2017 - 480
Baylor University Medical Center Proceedings October 2017 - 481
Baylor University Medical Center Proceedings October 2017 - 482
Baylor University Medical Center Proceedings October 2017 - 483
Baylor University Medical Center Proceedings October 2017 - 484
Baylor University Medical Center Proceedings October 2017 - 485
Baylor University Medical Center Proceedings October 2017 - 486
Baylor University Medical Center Proceedings October 2017 - 487
Baylor University Medical Center Proceedings October 2017 - 488
Baylor University Medical Center Proceedings October 2017 - 489
Baylor University Medical Center Proceedings October 2017 - 490
Baylor University Medical Center Proceedings October 2017 - 491
Baylor University Medical Center Proceedings October 2017 - 492
Baylor University Medical Center Proceedings October 2017 - Cover3
Baylor University Medical Center Proceedings October 2017 - Cover4
http://www.brightcopy.net/allen/bapr/30-4
http://www.brightcopy.net/allen/bapr/30-3
http://www.brightcopy.net/allen/bapr/30-2
http://www.brightcopy.net/allen/bapr/30-1
http://www.brightcopy.net/allen/bapr/29-4
http://www.brightcopy.net/allen/bapr/29-3
http://www.brightcopy.net/allen/bapr/29-2
http://www.brightcopy.net/allen/bapr/29-1
http://www.brightcopy.net/allen/bapr/28-04
https://www.nxtbook.com/allen/bapr/28-3
https://www.nxtbook.com/allen/bapr/28-2
https://www.nxtbook.com/allen/bapr/28-1
https://www.nxtbook.com/allen/bapr/27-4
https://www.nxtbook.com/allen/bapr/27-3
https://www.nxtbookmedia.com