{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,25]],"date-time":"2026-01-25T18:19:53Z","timestamp":1769365193748,"version":"3.49.0"},"reference-count":15,"publisher":"Hogrefe Publishing Group","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vasa"],"published-print":{"date-parts":[[2018,8,1]]},"abstract":"<jats:p> Abstract. Background: Numerous conditions that affect the boundary between the aortic arch and descending aorta are treated with thoracic endovascular aortic repair (TEVAR). In 40 % of cases, coverage of the left subclavian artery (LSA) cannot be prevented. Subsequently, neurological complications such as stroke or ischemia of the left upper extremity may develop. However, the actual risk of these complications is subject to considerable controversy. The optimal treatment approach, specifically the question whether primary revascularization of the LSA should be performed in all cases, is unclear. Patients and methods: The present retrospective study analyzed the short- and mid-term results of patients treated with TEVAR with complete coverage of the LSA. The postoperative protocol consisted of clinical and noninvasive examinations as well as morphological imaging. Survival, complication, and reintervention rates were recorded. Results: A total of 40 patients, undergoing TEVAR with complete coverage of the LSA between January 2010 and December 2014 were analyzed retrospectively. The 30-day survival rate was 95 %, the survival one year after performed TEVAR was 67.5 %. The average follow-up was 1.5 years. After TEVAR procedure with complete coverage of the LSA, only one patient (2.5 %) developed critical ischemia of the left arm immediately after aortic stent implantation, requiring revascularization by transposition of the LSA. Anterior spinal artery syndrome occurred in another patient (2.5 %) immediately following TEVAR. During follow-up examinations, all patients showed a compensated arterial arm status. None of the patients developed new neurological deficits during the follow-up period. Conclusions: The study shows that performing TEVAR without primary revascularization of the LSA was justifiable in our cohort. An important risk factor of developing cerebral ischemia seems to be insufficient collateralization through the circle of Willis. <\/jats:p>","DOI":"10.1024\/0301-1526\/a000713","type":"journal-article","created":{"date-parts":[[2018,5,23]],"date-time":"2018-05-23T08:47:49Z","timestamp":1527065269000},"page":"387-392","source":"Crossref","is-referenced-by-count":14,"title":["Management of the left subclavian artery during TEVAR \u2013                     complications and mid-term follow-up"],"prefix":"10.1024","volume":"47","author":[{"given":"Akram","family":"Youssef","sequence":"first","affiliation":[{"name":"Clinic of Internal Medicine and                     Cardiology, Dresden Heart Centre, University Hospital, Technische                     Universit\u00e4t, Dresden, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamer","family":"Ghazy","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Dresden                     Heart Centre \u2013 University Hospital, Technische Universit\u00e4t, Dresden,                     Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephan","family":"Kersting","sequence":"additional","affiliation":[{"name":"University Centre for Vascular Medicine                     and Department of Vascular Sugery, University Hospital Carl Gustav Carus,                     Technische Universit\u00e4t Dresden, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer Lynne","family":"Leip","sequence":"additional","affiliation":[{"name":"Northeastern University, Boston, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ralf-Thorsten","family":"Hoffmann","sequence":"additional","affiliation":[{"name":"Institute and Policlinic of Diagnostic                     Radiology, University Hospital Carl Gustav Carus, Technische Universit\u00e4t,                     Dresden, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Utz","family":"Kappert","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Dresden                     Heart Centre \u2013 University Hospital, Technische Universit\u00e4t, Dresden,                     Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Klaus","family":"Matschke","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Dresden                     Heart Centre \u2013 University Hospital, Technische Universit\u00e4t, Dresden,                     Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norbert","family":"Weiss","sequence":"additional","affiliation":[{"name":"University Centre for Vascular Medicine                     and Department of Medicine III \u2013 Section Angiology, University Hospital                     Carl Gustav Carus, Technische Universit\u00e4t, Dresden, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrian","family":"Mahlmann","sequence":"additional","affiliation":[{"name":"University Centre for Vascular Medicine                     and Department of Medicine III \u2013 Section Angiology, University Hospital                     Carl Gustav Carus, Technische Universit\u00e4t, Dresden, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"101","reference":[{"key":"c1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2013.02.043"},{"key":"c2","first-page":"135","volume":"53","author":"Dexter D","year":"2012","journal-title":"J Cardiovasc Surg 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