Systematic Review and Reconstructed Individual Patient Data of Atherosclerotic Subclavian Artery Aneurysm in the Endovascular Era.
Ann Vasc SurgMay 7, 2026 (epub)
Edoardo Frola, Samuel De La Vega Hurtado, Ilaria Peluttiero et al.
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In 30 seconds
This systematic review analyzed 67 atherosclerotic subclavian artery aneurysms (SAAs) in 66 patients to assess incidence, management, and outcomes in the endovascular era. The study found that 30-day complications occurred in 9% of cases, with no significant differences among repair strategies. Symptoms were present in 56% of patients, with rupture noted in 22%.
Key findings
- 30-day complications occurred in 9% of patients, regardless of repair strategy.
- Symptoms were present in 56% of patients, primarily due to compression, hemoptysis, or embolization.
- Rupture of the aneurysm occurred in 22% of cases.
- Open, endovascular, and hybrid repairs were performed in 34%, 46%, and 20% of cases, respectively.
Why it matters
Understanding the management and outcomes of atherosclerotic SAAs is crucial for clinicians, as these aneurysms can present with significant symptoms and complications. The findings highlight the importance of individualized treatment approaches rather than relying solely on aneurysm size.