Document Detail


Comparative results of carotid-subclavian bypass and axillo-axillary bypass in patients with symptomatic subclavian disease.
MedLine Citation:
PMID:  1555665     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The results of 26 carotid-subclavian bypass (CSB) and 17 axillo-axillary bypass (AAB) procedures, performed to treat symptomatic lesions of the proximal subclavian artery, were reviewed. Nine graft failures (seven CSB and two AAB) occurred (mean follow-up: CSB = 60.5 +/- 41 months; AAB = 67.8 +/- 48 months). All CSB graft thromboses were observed in patients with an associated ipsilateral carotid lesion, surgically treated or not (p less than 0.05). Cumulative 5- and 10-year patency rates were 78.3 and 62.9% for the CSB group and 87.9% for the AAB group (N.S.). In patients with an associated ipsilateral carotid lesion, 5- and 10-year patency rates were 66.0% and 40.8% for the CSB group and 100% for the AAB group (p less than 0.05). Both the surgical procedures were safe and effective with excellent results in terms of operative mortality, major morbidity and long-term patency. CSB is the procedure of choice for the treatment of proximal subclavian artery disease for its physiological characteristics and for graft shortness. However AAB must be considered a suitable alternative and preferred when a concomitant ipsilateral carotid lesion is present. Recurrence of carotid stenosis or carotid lesion progression may cause the carotid-subclavian failure.
Authors:
A Mingoli; R J Feldhaus; C Farina; R D Schultz; A Cavallaro
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of vascular surgery     Volume:  6     ISSN:  0950-821X     ISO Abbreviation:  Eur J Vasc Surg     Publication Date:  1992 Jan 
Date Detail:
Created Date:  1992-05-01     Completed Date:  1992-05-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8709440     Medline TA:  Eur J Vasc Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  26-30     Citation Subset:  IM    
Affiliation:
First Department of Surgery, La Sapienza University, Rome, Italy.
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MeSH Terms
Descriptor/Qualifier:
Aged
Axillary Artery / surgery*
Blood Vessel Prosthesis*
Brain Ischemia / surgery*
Carotid Arteries / surgery*
Carotid Stenosis / surgery
Endarterectomy
Female
Follow-Up Studies
Graft Occlusion, Vascular / surgery
Humans
Male
Middle Aged
Subclavian Steal Syndrome / surgery*
Vertebrobasilar Insufficiency / surgery

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


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