Comparison of extra-anatomic bypass grafting with angioplasty for atherosclerotic disease of the supra-aortic trunks

Review of coronary subclavian steal syndrome

“…While several case reports and case series describe experiences using one particular technique, only six studies to date have compared the results of a percutaneous endovascular technique to surgical subclavian artery revascularization [50][51][52][53][54][55]. These six studies were published between 1989 and 2012, and as a result compare various open surgical techniques (carotidsubclavian bypass, carotid-to-carotid bypass, subclavian-to-subclavian bypass, subclavian-to-axillary bypass, and subclavian carotid transposition) to different endovascular techniques (PTA alone, PTA with balloon-expandable stent, PTA with self-expanding stent) as technology advanced and for different indications prohibiting a meaningful meta-analysis.…”

Prolonged Success With a Covered Endovascular Stent After Emergent Use in Radiation-Induced Subclavian Artery Blowout: A Case Report

“…16 The use of cadaveric or prosthetic graft material has been described; however, the use of these tissue substitutes may be limited by infection with resultant graft occlusion or anastomotic aneurysm formation. 16,17 This has led to the recommendation for reconstruction with autologous or prosthetic material in a "clean" tissue plane remote to the area of radiation. This strategy optimizes graft coverage and wound healing with healthy, nonirradiated tissue and minimizes both infectious and hemorrhagic complications.…”

2011 ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/CNS/SAIP/SCAI/SIR/SNIS/SVM/SVS Guideline on the Management of Patients With Extracranial Carotid and Vertebral Artery Disease

“…Four recurrent stenoses were treated successfully by percutaneous angioplasty, and 4 required surgical revascularization. In a nonrandomized comparison of endovascular revascularization with extraanatomic bypass surgery for subclavian stenosis, all bypass grafts remained patent except 1 that occluded 19 years after operation (692). In contrast, 6 of 46 attempted subclavian artery angioplasties could not be completed because of occlusive lesions.…”

“…No randomized trials have compared these methods with surgical revascularization, but numerous reports from single institutions have provided data about early and long-term results, and 2 reports compared results of catheter-based and surgical revascularization in patients with symptomatic obstructive subclavian artery disease (692,694,695). In a series of 110 patients reported in 2005, the procedure was considered initially successful in 93% of cases (694).…”