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lüll Endovascular treatment strategies for supra-aortic arterial occlusive disease Peeters P; Verbist J; Deloose K; Bosiers MJ Cardiovasc Surg (Torino) 2005[Jun]; 46 (3): 193-200Because of the focal nature of stenoses or occlusions in the supra-aortic vasculature, the high blood-pressures in this area and the very low morbidity rates related to percutaneous therapy have largely replaced surgical revascularization as the initial treatment of choice for patients with supra-aortic arterial occlusive disease. The initial technical success and durability of percutaneous angioplasty (PTA) and stenting in these lesions is excellent. Nevertheless several factors can make PTA and stenting a complex procedure that requires advanced endovascular skills for a successful outcome. Profound knowledge of surgical reconstruction techniques or extra-anatomic bypasses remains mandatory, as it is occasionally required for failure of endovascular techniques or if contraindications exist.|*Practice Guidelines as Topic[MESH]|Angiography[MESH]|Carotid Stenosis/diagnostic imaging/*surgery[MESH]|Humans[MESH]|Subclavian Steal Syndrome/diagnostic imaging/*surgery[MESH]|Treatment Outcome[MESH]|Vascular Surgical Procedures/*methods[MESH] |