subclavian artery

Summary

Summary: Artery arising from the brachiocephalic trunk on the right side and from the arch of the aorta on the left side. It distributes to the neck, thoracic wall, spinal cord, brain, meninges, and upper limb.

Top Publications

  1. Rehders T, Petzsch M, Ince H, Kische S, Korber T, Koschyk D, et al. Intentional occlusion of the left subclavian artery during stent-graft implantation in the thoracic aorta: risk and relevance. J Endovasc Ther. 2004;11:659-66 pubmed
    To examine the clinical consequences and/or potential need for postinterventional transposition after stent-graft occlusion of the left subclavian artery (LSA).
  2. Valeske K, Mueller M, Hijjeh N, Boening A, Schranz D, Akintuerk H. Modified repair of interrupted aortic arch utilizing retroesophageal right subclavian artery based on a neonatal hybrid approach in hypoplastic left heart complex. Thorac Cardiovasc Surg. 2012;60:221-5 pubmed publisher
    Interrupted aortic arch (IAA) combined with an aberrant right subclavian artery (ARSA) is frequently associated with a hypoplastic ascending aorta...
  3. Knepper J, Criado E. Surgical treatment of Kommerell's diverticulum and other saccular arch aneurysms. J Vasc Surg. 2013;57:951-4 pubmed publisher
    ..Saccular aneurysms of the aortic arch are rare, and their surgical repair is challenging with potentially significant morbidity and mortality...
  4. Rastan A, Tillmann E, Subramanian S, Lehmkuhl L, Funkat A, Leontyev S, et al. Visceral arterial compromise during intra-aortic balloon counterpulsation therapy. Circulation. 2010;122:S92-9 pubmed publisher
  5. Babic S, Sagic D, Radak D, Antonic Z, Otasevic P, Kovacevic V, et al. Initial and long-term results of endovascular therapy for chronic total occlusion of the subclavian artery. Cardiovasc Intervent Radiol. 2012;35:255-62 pubmed publisher
    To study the initial and long-term results of angioplasty and primary stenting for the treatment of chronic total occlusion (CTO) of the subclavian artery (SA).
  6. Choi J, Cho S, Yi J, Han S, Kim H. Unintended cannulation of the subclavian artery in a 65-year-old-female for temporary hemodialysis vascular access: management and prevention. J Korean Med Sci. 2012;27:1265-8 pubmed publisher
    ..computed tomographic angiogram of the neck showed that the catheter had inadvertently been inserted into the subclavian artery. Without immediately removing the catheter and applying manual external compression, the arterial ..
  7. Weigang E, Parker J, Czerny M, Lonn L, Bonser R, Carrel T, et al. Should intentional endovascular stent-graft coverage of the left subclavian artery be preceded by prophylactic revascularisation?. Eur J Cardiothorac Surg. 2011;40:858-68 pubmed publisher
    ..Many aortic pathologies affect in the immediate proximity of the left subclavian artery (LSA) limiting the proximal landing zone site without proximal vessel coverage...
  8. Lee T, Andersen N, Williams J, Bhattacharya S, McCann R, Hughes G. Results with a selective revascularization strategy for left subclavian artery coverage during thoracic endovascular aortic repair. Ann Thorac Surg. 2011;92:97-102; discussion 102-3 pubmed publisher
    The need for routine left subclavian artery (LSCA) revascularization when this vessel is covered during thoracic endovascular aortic repair remains controversial...
  9. Sepehripour A, Ahmed K, Vecht J, Anagnostakou V, Suliman A, Ashrafian H, et al. Management of the left subclavian artery during endovascular stent grafting for traumatic aortic injury - a systematic review. Eur J Vasc Endovasc Surg. 2011;41:758-69 pubmed publisher
    ..is now an established treatment option which often requires proximal landing zone extension through left subclavian artery (LSA) origin coverage...

More Information

Publications62

  1. Russo M, Jeevanandam V, Stepney J, Merlo A, Johnson E, Malyala R, et al. Intra-aortic balloon pump inserted through the subclavian artery: A minimally invasive approach to mechanical support in the ambulatory end-stage heart failure patient. J Thorac Cardiovasc Surg. 2012;144:951-5 pubmed publisher
    ..The present study describes the outcomes with closed-chest, transthoracic intra-aortic balloon pumps by way of the subclavian artery.
  2. Yu H, Stavas J, Dixon R, Burke C, Mauro M. Temporary balloon tamponade for managing subclavian arterial injury by inadvertent central venous catheter placement. J Vasc Interv Radiol. 2011;22:654-9 pubmed publisher
    ..To evaluate the feasibility, efficacy, and safety of a temporary balloon tamponade technique for managing subclavian arterial injury secondary to inadvertent central venous catheter placement...
  3. Hsu K, Tsung Che Hsieh C, Chen M, Tsai H. Right aortic arch with aberrant left subclavian artery--prenatal diagnosis and evaluation of postnatal outcomes: report of three cases. Taiwan J Obstet Gynecol. 2011;50:353-8 pubmed publisher
    To present prenatal diagnosis of a right aortic arch (RAA) with an aberrant left subclavian artery (LSCA) by the three vessels and trachea (3VT) view using routine ultrasound and the newer technique of three-dimensional power Doppler ..
  4. Petronio A, De Carlo M, Bedogni F, Maisano F, Ettori F, Klugmann S, et al. 2-year results of CoreValve implantation through the subclavian access: a propensity-matched comparison with the femoral access. J Am Coll Cardiol. 2012;60:502-7 pubmed publisher
    ..The goal of this study was to assess the procedural and 2-year results of the subclavian approach for transcatheter aortic valve implantation (TAVI) compared with those of the femoral approach by using propensity-matched analysis...
  5. Ding M, Hu J, Ni J, Lv H, Song D, Shu C. Iatrogenic subclavian arteriovenous fistula: rare complication of plate osteosynthesis of clavicle fracture. Orthopedics. 2012;35:e287-9 pubmed publisher
    ..Orthopedic surgeons should be aware of this uncommon complication with plate osteosynthesis of clavicle fracture. We recommend using an endovascular surgical technique for treatment of this complication...
  6. Paladini D, Sglavo G, Pastore G, Masucci A, D Armiento M, Nappi C. Aberrant right subclavian artery: incidence and correlation with other markers of Down syndrome in second-trimester fetuses. Ultrasound Obstet Gynecol. 2012;39:191-5 pubmed publisher
    To assess the incidence of aberrant right subclavian artery (ARSA) and other strong markers of Down syndrome and their correlation in a large population of second-trimester Down syndrome fetuses assessed in a tertiary referral center.
  7. Kaidoh T, Inoue T. Simultaneous occurrence of an aberrant right subclavian artery and accessory lobe of the liver. Anat Sci Int. 2011;86:171-4 pubmed publisher
    We herein report a case showing the simultaneous occurrence of an aberrant right subclavian artery (ARSA) and accessory lobe of the liver in a 75-year-old female cadaver...
  8. Qi L, Gu Y, Zhang J, Yu H, Li X, Guo L, et al. [Surgical treatment of subclavian artery occlusion]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2010;24:1030-2 pubmed
    To explore the effective surgical approaches in treating subclavian artery occlusion.
  9. Southard N, Seabrook G, Tutton S, Almassi G, Lewis B, Brown K, et al. A unique hybrid approach to the treatment of an aberrant right subclavian artery aneurysm. Vasc Endovascular Surg. 2013;47:128-30 pubmed publisher
    Aberrant right subclavian artery (ARSA) is an uncommon congenital anomaly that often becomes aneurysmal. The ARSAs are often asymptomatic but aneurysms arising in this location are potentially lethal...
  10. Daniels L, Coveliers H, Hoksbergen A, Nederhoed J, Wisselink W. Hybrid treatment of aberrant right subclavian artery and its aneurysms. Acta Chir Belg. 2010;110:346-9 pubmed
    To describe two cases of aberrant right subclavian artery (ARSA) aneurysm treated with hybrid repair.
  11. Gafoor S, Stelter W, Bertog S, Sievert H. Fully percutaneous treatment of an aberrant right subclavian artery and thoracic aortic aneurysm. Vasc Med. 2013;18:139-44 pubmed publisher
    Treatment of an aberrant right subclavian artery (arteria lusoria) aneurysm is traditionally performed surgically or via a hybrid approach. To our knowledge, a fully percutaneous approach has not yet been reported...
  12. Paraskevas G, Papaziogas B, Natsis K, Ioannidis O, Martoglou S, Economou D, et al. Accessory internal thoracic artery and its clinical significance. Chirurgia (Bucur). 2010;105:709-11 pubmed
    ..Furthermore, it has to be kept in mind for the interpretation of angiographies of the subclavian artery.
  13. Ferrero E, Ferri M, Viazzo A, Carbonatto P, Pecchio A, Casabona R, et al. Aneurysm of the aberrant right subclavian artery: surgical and hybrid repair of two cases in a single center. Ann Vasc Surg. 2011;25:839.e5-9 pubmed publisher
    The aberrant right subclavian artery (ARSA) aneurysm is rare; however, the risk of rupture and thromboembolism is high, with a postrupture mortality rate of 50%. In this report, we have described two cases of this anomaly...
  14. Yang C, Shu C, Li M, Li Q, Kopp R. Aberrant subclavian artery pathologies and Kommerell's diverticulum: a review and analysis of published endovascular/hybrid treatment options. J Endovasc Ther. 2012;19:373-82 pubmed publisher
    Aberrant subclavian artery (ASA) is one of the most common congenital vascular anomalies of the aortic arch. The incidences of aberrant right subclavian artery (ARSA) and aberrant left subclavian artery (ALSA) are 0.4% to 2.3% and 0...
  15. Maldonado T, Dexter D, Rockman C, Veith F, Garg K, Arko F, et al. Left subclavian artery coverage during thoracic endovascular aortic aneurysm repair does not mandate revascularization. J Vasc Surg. 2013;57:116-24 pubmed publisher
    This study assessed the risk of left subclavian artery (LSA) coverage and the role of revascularization in a large population of patients undergoing thoracic endovascular aortic aneurysm repair.
  16. Stone W, Ricotta J, Fowl R, Garg N, Bower T, Money S. Contemporary management of aberrant right subclavian arteries. Ann Vasc Surg. 2011;25:508-14 pubmed publisher
    ..This variant has few published series to guide management. Our goal was to review treatment options and results for these potentially complex reconstructions...
  17. Rasmussen D, Dougherty J. Aortic dissection with vascular abnormalities. J Am Osteopath Assoc. 2011;111:407-9 pubmed
    ..cases have been reported in the medical literature in which aortic dissection occurs with an aberrant right subclavian artery and a common carotid trunk...
  18. Meila D, Tysiac M, Petersen M, Theisen O, Wetter A, Mangold A, et al. Origin and course of the extracranial vertebral artery: CTA findings and embryologic considerations. Clin Neuroradiol. 2012;22:327-33 pubmed publisher
    ..The duplicated VA is an anomaly that has been assumed to predispose for dissection and to be associated with aneurysms. We report its frequency and clinical significance...
  19. Fukuhara S, Patton B, Yun J, Bernik T. A novel method for the treatment of dysphagia lusoria due to aberrant right subclavian artery. Interact Cardiovasc Thorac Surg. 2013;16:408-10 pubmed publisher
    Dysphagia lusoria occurs secondary to an aberrant right subclavian artery coursing posterior to the oesophagus...
  20. Folkmann S, Waldenberger F, Weiss G, Mertikian G, Moidl R, Gorlitzer M, et al. Hybrid treatment in a patient with acute aortic syndrome and an aberrant right subclavian artery. Vasc Endovascular Surg. 2013;47:645-7 pubmed publisher
    ..by a penetrating atherosclerotic ulcer and contained rupture at the level of origin of an aberrant right subclavian artery. A combined vascular and endovascular approach was selected...
  21. Vavuranakis M, Vrachatis D, Filis K, Stefanadis C. Trans-catheter aortic-valve implantation by the subclavian approach complicated with vessel dissection and transient left-arm paralysis. Eur J Cardiothorac Surg. 2011;39:127-9 pubmed publisher
    ..aortic stenosis, who was treated with trans-catheter aortic-valve implantation (TAVI), through the left subclavian artery. A CoreValve bioprosthesis was successfully implanted, but the procedure was complicated by a focal left ..
  22. Jain K, Braze A, Shapiro M, Perez Tamayo R. Aberrant right subclavian artery-esophageal fistula and severe gastrointestinal bleeding after surgical correction of scimitar syndrome. Tex Heart Inst J. 2012;39:571-4 pubmed
    Scimitar syndrome and gastrointestinal bleeding from an aberrant right subclavian artery-esophageal fistula are each extremely rare...
  23. Rulliat E, Ndiaye A, David J, Voiglio E, Lieutaud T. [Subclavian artery rupture after road crash: many similitaries]. Ann Fr Anesth Reanim. 2011;30:909-13 pubmed publisher
    ..The aim of this study was to describe the epidemiological data and the medical charts of the initial care of each patient suffering a TSCAR following a traffic accident...
  24. Chung J, Kasirajan K, Veeraswamy R, Dodson T, Salam A, Chaikof E, et al. Left subclavian artery coverage during thoracic endovascular aortic repair and risk of perioperative stroke or death. J Vasc Surg. 2011;54:979-84 pubmed publisher
    Left subclavian artery (LSA) coverage during thoracic endovascular aortic repair (TEVAR) is often necessary due to anatomic factors and is performed in to up to 40% of procedures...
  25. Auguste K, Quinones Hinojosa A, Lawton M. The tandem bypass: subclavian artery-to-middle cerebral artery bypass with dacron and saphenous vein grafts. Technical case report. Surg Neurol. 2001;56:164-9 pubmed
    ..This circumstance in an elderly subarachnoid hemorrhage patient led to a novel bypass procedure, the tandem bypass: a long extracranial-to-intracranial bypass with two grafts of different materials assembled in series...
  26. Best I, Bumpers H. Anomalous origins of the right vertebral, subclavian, and common carotid arteries in a patient with a four-vessel aortic arch. Ann Vasc Surg. 2002;16:231-4 pubmed
    ..The right common carotid gave rise to the right vertebral artery in the chest while the normally located left vertebral arose from the left subclavian artery. No aneurysm or aortic diverticulum was identified.
  27. Cinà C, Althani H, Pasenau J, Abouzahr L. Kommerell's diverticulum and right-sided aortic arch: a cohort study and review of the literature. J Vasc Surg. 2004;39:131-9 pubmed
    We report four consecutive cases of Kommerell's aneurysm of an aberrant left subclavian artery in patients with a right-sided aortic arch and the results of a systematic review of the literature...
  28. Guerrero R, Wilkinson J, Brizard C. Reconstruction of left main coronary artery with subclavian artery free graft in an infant. Eur J Cardiothorac Surg. 2005;27:927-9 pubmed
    ..Occlusion of the reconstructed LMCA was found by angiogram. At reoperation the right subclavian artery was used as a free interposition graft to reconstruct the LMCA. The post-operative course was uneventful...
  29. Murzi M, Mariani M, Karimov J, Gilmanov D, Berti S, Glauber M. Hybrid repair of a Kommerell's diverticulum aneurysm. J Card Surg. 2010;25:67-9 pubmed publisher
    Aneurysms of the right aortic arch with an aberrant left subclavian artery are rare...
  30. Harada H, Ito T, Yamamoto N, Abe T. Surgical treatment of an aneurysm of the aberrant right subclavian artery involving an aortic arch aneurysm and coronary artery disease. Ann Thorac Cardiovasc Surg. 2001;7:109-12 pubmed
    ..Angiography, MRI and CT demonstrated an aortic arch aneurysm and an aneurysm of the aberrant right subclavian artery. Coronary angiography revealed 95% stenosis in the right coronary artery...
  31. Fisher R, Whigham C, Trinh C. Diverticula of Kommerell and aberrant subclavian arteries complicated by aneurysms. Cardiovasc Intervent Radiol. 2005;28:553-60 pubmed
    ..Aneurysms rarely involve ASAs (with or without a DOK), but they are associated with a high mortality rate if they are not discovered before rupture. Early diagnosis plus surgical and/or endovascular management can be lifesaving...
  32. Rizvi A, Murad M, Fairman R, Erwin P, Montori V. The effect of left subclavian artery coverage on morbidity and mortality in patients undergoing endovascular thoracic aortic interventions: a systematic review and meta-analysis. J Vasc Surg. 2009;50:1159-69 pubmed publisher
    ..The intentional coverage of the left subclavian artery (LSA) during the placement of these endografts is associated with several complications including stroke, ..
  33. Manninen H, Tulla H, Vanninen R, Ronkainen A. Endangered cerebral blood supply after closure of left subclavian artery: postmortem and clinical imaging studies. Ann Thorac Surg. 2008;85:120-5 pubmed
    The aim of this study was to assess hemodynamic consequences of increasingly common coverage of the left subclavian artery (LSA) during endovascular stent-graft repair for thoracic aortic disease without surgical revascularization...
  34. Sakakibara K, Okano T, Kurane S, Kudoh S. [A case of tuberculous aneurysm of subclavian artery occurred in the course of treatment for miliary tuberculosis]. Kekkaku. 2007;82:111-4 pubmed
    ..From the cervical CT and cervical angiography findings, the diagnosis of right subclavian artery impending ruptured aneurysm was made...
  35. Kikuchi K, Makuuchi H, Oono M, Murakami H, Suzuki T, Ando T. Surgery for aortic dissection involving an aberrant right subclavian artery. Jpn J Thorac Cardiovasc Surg. 2005;53:632-4 pubmed
    On diagnosis of Stanford type A acute aortic dissection with an aberrant right subclavian artery, emergency operation was performed...
  36. Nicholson T, Ettles D, Robinson G. Managing inadvertent arterial catheterization during central venous access procedures. Cardiovasc Intervent Radiol. 2004;27:21-5 pubmed
    ..Inadvertent arterial puncture occurs in up to 3.7%. Significant morbidity and death has been reported. We report on our experience in the endovascular treatment of this iatrogenic complication...
  37. Tatebe S, Asami F, Shinohara H, Okamoto T, Kuraoka S. Ruptured aneurysm of the subclavian artery in a patient with von Recklinghausen's disease. Circ J. 2005;69:503-6 pubmed
    ..Computerized axial tomography revealed a ruptured aneurysm of the left subclavian artery. The patient underwent emergency surgery to exclude the aneurysm, and cross-over bypass grafting of both ..
  38. Taramasso M, Giacomini A, Maisano F. Transcatheter aortic valve implantation through the left subclavian artery with a patent LIMA graft. Catheter Cardiovasc Interv. 2010;76:153-5 pubmed publisher
  39. Lunde R, Sanders E, Hoskam J. Right aortic arch symptomatic in adulthood. Neth J Med. 2002;60:212-5 pubmed
    ..a patient with progressive dysphagia and shortness of breath due to a right aortic arch with aberrant left subclavian artery that became symptomatic in adulthood...
  40. Bin H, Kim M, Kim S, Keun J, Lee J, Kim S. Intrathoracic aneurysm of the right subclavian artery presenting with hoarseness: a case report. J Korean Med Sci. 2005;20:674-6 pubmed
    Intrathoracic segment of the subclavian artery is an unusual location for peripheral arterial aneurysms. They are normally caused by atherosclerosis, medial degeneration, trauma, and infection...
  41. Resch T, Lyden S, Gavin T, Clair D. Combined open and endovascular treatment of a right subclavian artery aneurysm: a case report. J Vasc Surg. 2005;42:1206-9 pubmed
    ..4-cm aneurysm of the right subclavian artery. Because of the anatomic location of the aneurysm and his previous operation, an innominate to carotid ..
  42. Tjang Y, Aramendi J, Crespo A, Hamzeh G, Voces R, Rodriguez M. Right cervical aortic arch with aberrant left subclavian artery. Asian Cardiovasc Thorac Ann. 2008;16:e37-9 pubmed
    The combination of right cervical aortic arch, aberrant retroesophageal left subclavian artery originating from a Kommerell's diverticulum, and a ligamentum arteriosum, constitutes a rare form of vascular ring...
  43. Meyer C, Probst C, Strunk H, Schiller W, Wilhelm K. Second-generation Amplatzer Vascular Plug (AVP) for the treatment of subsequent subclavian backflow type II endoleak after TEVAR. Cardiovasc Intervent Radiol. 2009;32:1264-7 pubmed publisher
    ..Here, we present for the first time, a case of type II endoleak from the left subclavian artery after thoracic stent-graft placement successfully treated with a second-generation AVP.
  44. Lin P, Koffron A, Guske P, Lujan H, Heilizer T, Yario R, et al. Penetrating injuries of the subclavian artery. Am J Surg. 2003;185:580-4 pubmed
    Penetrating injuries of the subclavian artery occurs infrequently but represent a surgical challenge. We reviewed our experience with penetrating injury of the subclavian artery and identify factors that influenced morbidity and mortality.
  45. Peuster M, Fink C, Wohlsein P, Bruegmann M, Günther A, Kaese V, et al. Degradation of tungsten coils implanted into the subclavian artery of New Zealand white rabbits is not associated with local or systemic toxicity. Biomaterials. 2003;24:393-9 pubmed
    ..To assess whether corrosion of tungsten coils is related to residual shunting and to evaluate whether elevated tungsten serum levels are associated with local or systemic toxicity...
  46. Hirota T, Yamagami T, Tanaka O, Iida S, Kato T, Nakamura T, et al. Brain infarction after percutaneous implantation of port-catheter system via the left subclavian artery. Br J Radiol. 2002;75:799-804 pubmed
    ..the incidence of brain infarction after percutaneous implantation of a port-catheter system via the left subclavian artery for hepatic arterial infusion chemotherapy...
  47. Kotelis D, Geisbüsch P, Hinz U, Hyhlik Dürr A, von Tengg Kobligk H, Allenberg J, et al. Short and midterm results after left subclavian artery coverage during endovascular repair of the thoracic aorta. J Vasc Surg. 2009;50:1285-92 pubmed publisher
    To analyze the sequelae of the intentional left subclavian artery (LSA) coverage during thoracic endovascular aortic repair (TEVAR).
  48. Peterson B, Eskandari M, Gleason T, Morasch M. Utility of left subclavian artery revascularization in association with endoluminal repair of acute and chronic thoracic aortic pathology. J Vasc Surg. 2006;43:433-9 pubmed
    ..Various methods have been used to address this issue. We report our experience with subclavian artery revascularization in association with endoluminal repair of acute and chronic thoracic aortic pathology.
  49. Kelly M. Endoscopy and the aberrant right subclavian artery. Am Surg. 2007;73:1259-61 pubmed
    The aberrant right subclavian artery is present in 0.4 per cent of the population. It is usually asymptomatic and only rarely causes symptomatic esophageal compression, a condition known as dysphagia lusoria...
  50. Zipfel B, Buz S, Hammerschmidt R, Hetzer R. Occlusion of the left subclavian artery with stent grafts is safer with protective reconstruction. Ann Thorac Surg. 2009;88:498-504 pubmed publisher
    Safe fixation of endovascular stent grafts in thoracic aortic disease often requires covering of the left subclavian artery (LSA) with the stent graft...
  51. Murphy E, Dimaio J, Dean W, Jessen M, Arko F. Endovascular repair of acute traumatic thoracic aortic transection with laser-assisted in-situ fenestration of a stent-graft covering the left subclavian artery. J Endovasc Ther. 2009;16:457-63 pubmed publisher
    ..To report the use of in-situ laser-assisted endograft fenestration during thoracic endovascular aortic repair (TEVAR)...
  52. Davidovic L, Kostic D, Jakovljevic N, Kuzmanovic I, Simic T. Vascular thoracic outlet syndrome. World J Surg. 2003;27:545-50 pubmed
    ..Ten subclavian artery aneurysms containing intraluminal thrombus as well as one subclavian artery occlusion were found...
  53. Akdeniz B, Yilmaz E, Pekel N, Ergul B. Anomalous origin of the right vertebral artery from the ascending aorta in the presence of an aberrant right subclavian artery. Int J Cardiovasc Imaging. 2007;23:39-42 pubmed
    ..ascending aorta, just above the left coronary sinus Valsalva in addition to aberrant retro-esophageal right subclavian artery. The variations and the incidence of various abnormal origins of the right vertebral artery are also reviewed...