Intentional coverage of the left subclavian artery during endovascular repair of traumatic descending thoracic aortic transection Michele Antonello,

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Intentional coverage of the left subclavian artery during endovascular repair of traumatic descending thoracic aortic transection Michele Antonello, MD, PhD, Mirko Menegolo, MD, Carlo Maturi, MD, Alberto Dall'Antonia, MD, Sandro Lepidi, MD, Anna Chiara Frigo, PhD, Franco Grego, MD, Paolo Frigatti, MD Journal of Vascular Surgery Volume 57, Issue 3, Pages 684-690.e1 (March 2013) DOI: 10.1016/j.jvs.2012.08.119 Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 1 Preoperative computed tomographic angiograms (CTAs) showing a grade IV traumatic aortic transection (white circles indicates lesion’s extension near origin of left subclavian artery [LSA]; A) treated with an endovascular repair covering the origin of the LSA (B). Journal of Vascular Surgery 2013 57, 684-690.e1DOI: (10.1016/j.jvs.2012.08.119) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 2 Relationship between percent of peak systolic velocity (PSV) decrease measured by ultrasound Doppler in the left brachial artery with respect to the contralateral and the grade of left arm claudication. If the decrease was >50%, patients had severe claudication; if the decrease was between 30% and 50%, patients had mild claudication; and if the decrease was <30%, patients were asymptomatic (P < .0001). The grade of left arm claudication improved significantly during follow-up (P < .0001). Journal of Vascular Surgery 2013 57, 684-690.e1DOI: (10.1016/j.jvs.2012.08.119) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 3 Relationship between left vertebral artery diameter and grade of left arm claudication (P < .0001). Lines represent mean left vertebral diameter with standard deviation (⊥). PSV, Peak systolic velocity. Journal of Vascular Surgery 2013 57, 684-690.e1DOI: (10.1016/j.jvs.2012.08.119) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 4 Kaplan-Meyer analysis showing freedom from left subclavian artery (LSA) revascularization of 93.5% at 48 months. Journal of Vascular Surgery 2013 57, 684-690.e1DOI: (10.1016/j.jvs.2012.08.119) Copyright © 2013 Society for Vascular Surgery Terms and Conditions