[Surgical and interventional therapeutic possibilities in XXXX ].

@entity154 @entity455 @entity4288 @entity39 @entity2850 @entity1897 @entity439 @entity378 @entity531 @entity130 @entity438
@entity438 are extremely rare and most commonly caused by @entity4288 , @entity130 or @entity531 . Less frequently seen causes also include syphilis, cystic media @entity39 or @entity378 or @entity154 . The presence of a subclavian @entity439 can give rise to various symptoms such as a pulsating supraclavicular mass, @entity1897 or @entity2850 . Generally, surgical intervention is undertaken involving ligation and extirpation of the @entity439 followed by interposition of either a saphenous vein- or synthetic vascular graft. Recent diversifications in potential therapeutic strategies include the clinical application of transluminally positioned stents for the treatment of @entity455 . In the literature review we found more than 260 published cases of surgically treated subclavian @entity439 and additional 17 subclavian @entity439 treated by endoluminal stent application. From 1992-1997 5 subclavian @entity439 were resected in our hospital. In four cases a vein graft of the vena saphena magna and in one case a PTFE graft were used. The sensory ischaemic deficit regressed in the further follow up in four of the five cases. Patency was checked postoperatively by ultrasound sonography, angiography or MR-angiography.
