Document Detail


Axillo-axillary bypass for subclavian steal syndrome.
MedLine Citation:
PMID:  155439     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Since 1972, 14 patients with subclavian steal and four with primary vascular insufficiency of the arm have been operated on using the axillo-axillary bypass graft. Two grafts have been replaced, one after nine months for threatened erosion, and the other after three years for thrombosis due to disease progression in the donor artery. The new grafts were patent at three and at 2 1/2 years. One graft was occluded at six months and was not replaced. All other patients under observation in 1978 have grafts patent at one month to 6 1/2 years (average 2.2 years). Life table analysis shows the probability of graft patency (20 grafts) is 76% at three years. In the subclavian steal group steal on the left side predominated 2:1. Cerebral symptoms predominated with arm symptoms less often seen, although six patients had both. Associated vascular disease and hypertension were common. There was no mortality and few complications. Axillo-axillary bypass grafting is considered the operation of choice for patients with subclavian steal syndrome.
Authors:
W O Myers; B R Lawton; J F Ray; M E Kuehner; R D Sautter
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of surgery (Chicago, Ill. : 1960)     Volume:  114     ISSN:  0004-0010     ISO Abbreviation:  Arch Surg     Publication Date:  1979 Apr 
Date Detail:
Created Date:  1979-06-26     Completed Date:  1979-06-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9716528     Medline TA:  Arch Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  394-9     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Arm / blood supply
Arterial Occlusive Diseases / surgery
Axillary Artery / surgery*
Blood Vessel Prosthesis*
Carotid Arteries / surgery
Female
Follow-Up Studies
Graft Rejection
Graft Survival
Humans
Male
Middle Aged
Polyethylene Terephthalates
Subclavian Artery / surgery
Subclavian Steal Syndrome / surgery*
Chemical
Reg. No./Substance:
0/Polyethylene Terephthalates

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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