Journal «Angiology and Vascular Surgery» • 

2020 • VOLUME 26 • №3

Subclavian artery aneurysms: pathogenesis, diagnosis, and therapeutic decision-making

Gavrilenko A.V.1,2, Sinyavin G.V.3, Grabuzdov A.M.2, Barinov E.V.4

1) Department of Vascular Surgery,
2) Department of Surgical Treatment of Myocardial Dysfunctions and Heart Failure, Russian Scientific Centre of Surgery named after Academician B.V. Petrovsky,
3) Department of Hospital Surgery, First Moscow State Medical University named after I.M. Sechenov under the RF Ministry of Public Health,
4) Department of Vascular Surgery, National Medical Research Centre of Surgery named after A.V. Vishnevsky under the RF Ministry of Public Health, Moscow, Russia

The article deals with the relevant literature data concerning diagnosis and treatment of subclavian artery aneurysms. This nosological entity is relatively uncommon, however its importance for modern medicine should not be underestimated.

Despite a low incidence of the pathology, it should be understood that the disease’s course for the patient is associated with the development of severe complications which may lead to disability or even death. The development of complications is extremely difficult to predict and stratification of risks for such patients is too complicated. It is also known that the diagnosis of a subclavian artery aneurysm is frequently an accidental finding, since the pathology may for a long time proceed symptom-free.

At the same time, the subclavian artery occupies the first place by the frequency of localization of upper-limb aneurysms, thus making this problem currently important. Besides, separate attention should be paid to modern methods of correction of this disease, since implementation of high-tech interventions into vascular surgery have significantly expanded the arsenal of the operating surgeon.

KEY WORDS: subclavian artery aneurysm, surgical treatment, angiography, stent graft, thoracic outlet syndrome.

P. 190

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