{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T17:09:41Z","timestamp":1776445781794,"version":"3.51.2"},"reference-count":44,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2003,12,18]],"date-time":"2003-12-18T00:00:00Z","timestamp":1071705600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2004,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This study provides extended follow\u2010up of a nonrandomized series of symptomatic patients who underwent subclavian stent\u2010supported angioplasty (SSA) with emphasis on preprocedure factors that may have influenced outcome. The endpoints of mortality and restenosis were analyzed using backward stepwise logistic regression with the following clinical variables: coronary artery disease, hypertension, hyperlipidemia, smoking, diabetes mellitus, chronic obstructive pulmonary disease, chronic renal insufficiency\/failure, and hypothyroidism. Restenosis is reported based on prospective serial noninvasive studies and\/or angiography. Mortality was evaluated by retrospective database review and inquiry to the State Department of Health and Human Services' statistical registry in patients who were lost to follow\u2010up. Over a 9\u2010year period (mean follow\u2010up, 36.1 \u00b1 30.4 months; maximum observation, 109.5 months), 101 stents were placed in 91 consecutive patients (37 male, 54 female). The mean age at intervention was 62.03 \u00b1 9.3. The procedure was technically successful in 89 patients 97% (mean pre\u2010 and postoperative stenosis and pressure gradients were 90.2% \u00b1 9.4% vs. 3.7% \u00b1 6.6%, <jats:italic>P<\/jats:italic> &lt; 0.001, and 59.9 \u00b1 35.2 vs. 0 mm Hg, <jats:italic>P<\/jats:italic> &lt; 0.001, respectively), with 13 minor complications and no immediate major complications. One patient died of unrelated causes within 30 days. Per Kaplan\u2010Meier method, for years 1 through 5, the rates of overall patency were 96%, 91%, 86%, 77%, and 72%; likewise, overall patient survival was 93%, 88%, 8%4, 81%, and 76%. No clear predictors for restenosis were discovered, although a trend toward higher recurrence was noted in women (18.5% in female vs. and 8.6% in male; <jats:italic>P<\/jats:italic> &gt; 0.05), but the same were less likely to die during follow\u2010up (<jats:italic>P<\/jats:italic> &gt; 0.001). Also, the presence of hypothyroidism (<jats:italic>P<\/jats:italic> = 0.004) and increasing age (<jats:italic>P<\/jats:italic> = 0.068) were positively correlated with all\u2010cause mortality. This study suggests that SSA is predictable, safe, and durable. The diagnosis of symptomatic subclavian disease is of prognostic importance, with age and male gender representing important predictors of all\u2010cause long\u2010term mortality. The strong association of increased mortality with hypothyroidism is difficult to discard and raises the question of a yet to be described thyroid steal phenomena. Catheter Cardiovasc Interv 2004;61:5\u201311. \u00a9 2004 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/ccd.10711","type":"journal-article","created":{"date-parts":[[2003,12,24]],"date-time":"2003-12-24T09:01:38Z","timestamp":1072256498000},"page":"5-11","source":"Crossref","is-referenced-by-count":74,"title":["Subclavian artery stenting: Factors influencing long\u2010term outcome"],"prefix":"10.1002","volume":"61","author":[{"given":"Mark C.","family":"Bates","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mike","family":"Broce","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P. Scott","family":"Lavigne","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Stone","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2003,12,18]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM196111022651804"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM196111022651812"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1962.03050420030008"},{"key":"e_1_2_5_5_2","first-page":"138","article-title":"Subclavian carotid transposition for symptomatic subclavian artery stenosis or occlusion: a comparison with the endovascular procedure","volume":"21","author":"Ballotta E","year":"2002","journal-title":"Int Angiol"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199406000-00010"},{"key":"e_1_2_5_7_2","first-page":"995","article-title":"Transluminal dilatation for subclavian steal syndrome","volume":"135","author":"Bachman DM","year":"1980","journal-title":"Am J Radiol"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.1810330221"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.1810330220"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1078-5884(05)80020-6"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1051-0443(96)72865-8"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(96)70282-3"},{"key":"e_1_2_5_13_2","first-page":"23","article-title":"Stenting for occlusion of the subclavain arteries: technical aspects and follow\u2010up results","volume":"24","author":"Martinez R","year":"1997","journal-title":"Texas Heart Inst J"},{"key":"e_1_2_5_14_2","first-page":"372","article-title":"Initial and long\u2010term results of treatment of brachiocephalic arterial stenoses and occlusions with balloon angioplasty, thrombolysis, stents","volume":"9","author":"McNamara TO","year":"1997","journal-title":"J Invas Cardiol"},{"key":"e_1_2_5_15_2","first-page":"229","article-title":"Percutaneous transluminal angioplasty in the treatment of occlusions of the subclavian artery: preliminary results","volume":"46","author":"Testini M","year":"1998","journal-title":"Minerva Carioangiol"},{"key":"e_1_2_5_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s100169900254"},{"key":"e_1_2_5_17_2","doi-asserted-by":"publisher","DOI":"10.1024\/0301-1526.28.2.117"},{"key":"e_1_2_5_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.1810340202"},{"key":"e_1_2_5_19_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.1810290103"},{"key":"e_1_2_5_20_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1522-726X(199902)46:2<169::AID-CCD11>3.0.CO;2-4"},{"key":"e_1_2_5_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(98)70032-1"},{"key":"e_1_2_5_22_2","doi-asserted-by":"publisher","DOI":"10.1583\/1074-6218(1999)006<0033:PTAOTS>2.0.CO;2"},{"key":"e_1_2_5_23_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.38.5.669"},{"key":"e_1_2_5_24_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.19.4.431"},{"key":"e_1_2_5_25_2","first-page":"369","article-title":"Update on endovascular treatment of peripheral vascular disease","volume":"27","author":"Krajcer Z","year":"2000","journal-title":"Texas Heart Inst J"},{"key":"e_1_2_5_26_2","doi-asserted-by":"publisher","DOI":"10.1067\/mva.1988.avs0080721"},{"key":"e_1_2_5_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(89)90181-5"},{"key":"e_1_2_5_28_2","first-page":"722","article-title":"Recommendations for the assessment and maintenance of proficiency in coronary interventional procedures: statement of the American College of Cardiology","volume":"31","author":"Hirshfeld JW","year":"1998","journal-title":"J Am Coll Cardiol"},{"key":"e_1_2_5_29_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-197009000-00005"},{"key":"e_1_2_5_30_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1977.01370090107023"},{"key":"e_1_2_5_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)65861-4"},{"key":"e_1_2_5_32_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.1810260104"},{"issue":"1","key":"e_1_2_5_33_2","first-page":"71","article-title":"Coronary angioplasty in women: risk factors and sex\u2010related differences in coronary anatomy evaluated with intravascular ultrasonography","volume":"2","author":"Petronio AS","year":"2002","journal-title":"Ital Heart J"},{"key":"e_1_2_5_34_2","first-page":"187","article-title":"Predictors of recurrent restenosis after coronary stenting: an analysis of 197 patients","volume":"14","author":"Kishi K","year":"2002","journal-title":"J Invas Cardiol"},{"key":"e_1_2_5_35_2","doi-asserted-by":"publisher","DOI":"10.1152\/jappl.2001.91.4.1902"},{"key":"e_1_2_5_36_2","first-page":"480","article-title":"Predictors of long\u2010term clinical outcome in patients undergoing multiple vessel stenting for coronary artery disease","volume":"1","author":"Sheiban I","year":"2000","journal-title":"Ital Heart J"},{"key":"e_1_2_5_37_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00392-002-0845-8"},{"key":"e_1_2_5_38_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(01)01114-9"},{"key":"e_1_2_5_39_2","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2003.121"},{"key":"e_1_2_5_40_2","doi-asserted-by":"publisher","DOI":"10.1053\/euhj.2002.3282"},{"key":"e_1_2_5_41_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(02)00330-5"},{"key":"e_1_2_5_42_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-200211000-00007"},{"key":"e_1_2_5_43_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(02)04086-9"},{"key":"e_1_2_5_44_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-132-4-200002150-00004"},{"key":"e_1_2_5_45_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(01)06067-6"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.10711","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.10711","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,17]],"date-time":"2023-11-17T17:35:31Z","timestamp":1700242531000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.10711"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,12,18]]},"references-count":44,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2004,1]]}},"alternative-id":["10.1002\/ccd.10711"],"URL":"https:\/\/doi.org\/10.1002\/ccd.10711","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2003,12,18]]}}}