{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T20:43:20Z","timestamp":1793393000030,"version":"4.5.0"},"reference-count":36,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2006,3,17]],"date-time":"2006-03-17T00:00:00Z","timestamp":1142553600000},"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":[[2006,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:styled-content>Background<\/jats:styled-content>: Percutaneous angioplasty (PTA) is widely used in the treatment of subclavian\/innominate artery obstruction, but factors of long\u2010term PTA outcome are poorly understood. Our aim was to evaluate the efficiency of PTA on symptom resolution and identify determinants of long\u2010term outcome. <jats:styled-content>Methods and Results<\/jats:styled-content>: Seventy\u2010six lesions were treated in 75 patients (58.7% men) aged 60 \u00b1 8.5 years. PTA was successful in 70 (93.3%) patients, including 58\/58 (100%) stenotic lesions and 13\/18 (72.2%) occlusions. The mean stenosis grade (QCA) was reduced from 78.9% \u00b1 16.6% to 13.5% \u00b1 10.7% (<jats:italic>P<\/jats:italic> &lt; 0.01). A great majority of lesions (87.1%) were stented. In 5 (7.1%) high\u2010risk lesions a proximal or distal neuroprotection system was used. There were no strokes or embolic events. Minor complications occurred in 7 (9.3%) cases. Fifty\u2010seven (89%) of 64 symptomatic patients had complete symptom resolution. The mean follow\u2010up was 24.4 \u00b1 15.5 months (up to 66 months). Ten restenoses (15.6%), including 9 (13.8%) in\u2010stent restenoses and 1 (16.7%) restenosis after balloon angioplasty, were diagnosed in 64 patients and followed up for at least 6 months. Nine symptomatic restenoses were successfully treated with repeated angioplasty. Cox multivariable analysis revealed the following independent predictors of restenosis: implantation of more than one stent (<jats:italic>P<\/jats:italic> = 0.005), low stent diameter (<jats:italic>P<\/jats:italic> = 0.088), and postprocedural systolic blood pressure difference between upper extremities (<jats:italic>P<\/jats:italic> = 0.044). <jats:styled-content>Conclusions<\/jats:styled-content>: PTA is a safe and effective method for the treatment of the subclavian\/innominate artery obstruction and leads to symptom resolution in majority of patients. Restenosis is not frequent and it can be effectively treated with repeat angioplasty. Low stent diameter, implantation of two stents, and upper limb systolic blood pressure difference are independent predictors of restenosis. \u00a9 2006 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/ccd.20695","type":"journal-article","created":{"date-parts":[[2006,3,17]],"date-time":"2006-03-17T19:17:00Z","timestamp":1142623020000},"page":"519-526","source":"Crossref","is-referenced-by-count":63,"title":["Determinants of immediate and long\u2010term results of subclavian and innominate artery angioplasty"],"prefix":"10.1002","volume":"67","author":[{"given":"Tadeusz","family":"Przewlocki","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Kablak\u2010Ziembicka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piotr","family":"Pieniazek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piotr","family":"Musialek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrzej","family":"Kadzielski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaroslaw","family":"Zalewski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Artur","family":"Kozanecki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wieslawa","family":"Tracz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2006,3,17]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.38.5.669"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1552-6569.2002.tb00109.x"},{"key":"e_1_2_6_4_2","first-page":"481","volume-title":"Textbook of Interventional Cardiology","author":"Tan WA","year":"2003"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.1230"},{"key":"e_1_2_6_6_2","first-page":"65","article-title":"Role of the vascular laboratory in the diagnosis of aortic arch occlusive disease: Screening of 2000 patients","volume":"8","author":"Beer G","year":"1981","journal-title":"Cardiovasc Dis Tex Heart Inst Bull"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.40.6.871"},{"key":"e_1_2_6_8_2","first-page":"20","article-title":"Subclavian steal syndrome. 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