Subclavian carotid transposition and bypass grafting: Consecutive cohort study and systematic review

Cinà, Claudio S.; Safar, Hussein A.; Laganà, Antonello; Arena, Goffredo; Clase, Catherine M.

doi:10.1067/mva.2002.120035

Cited by 166 publications

(98 citation statements)

References 34 publications

(18 reference statements)

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Section: Discussioncontrasting

confidence: 41%

“…In contrast, a prior study and systematic review concluded that SCT compared to CSB had superior patency (84% vs. 98%) and freedom from complications (88 vs. 99%) (16). A potential explanation of these differences is that the aforementioned study evaluating LSA revascularization had a heterogeneous cohort of both patients undergoing TEVAR and patients undergoing treatment for LSA occlusive disease (6,(16)(17)(18)(19). A notable difference in our comparison groups was the expected distribution that CSB patients had a higher incidence of CABG, because the presence of a functioning internal mammary CABG is a crucial indication to select CSB over SCT.…”

Section: Discussionmentioning

confidence: 59%

See 1 more Smart Citation

Outcomes of Thoracic Endovascular Aortic Repair and Subclavian Revascularization Techniques

Zamor¹,

Eskandari²,

Rodríguez³

2016

Journal of Vascular Surgery

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Section: Discussioncontrasting

confidence: 41%

Section: Discussionmentioning

confidence: 59%

Outcomes of Thoracic Endovascular Aortic Repair and Subclavian Revascularization Techniques

Zamor¹,

Eskandari²,

Rodríguez³

2016

Journal of Vascular Surgery

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“…Another extraanatomic procedure, subclavian-carotid transposition is also an elegant procedure with excellent longterm durability (Cina et al 2002). However, potential aggravation of coronary ischemia during interruption of vertebral and IMA blood flow makes it a less attractive treatment option in patients with CSS.…”

Section: Discussionmentioning

confidence: 99%

Carotid-Subclavian Bypass in Occlusive Disease of Subclavian Artery: More Important Today than Before

Çınar

Enç

Kosem

et al. 2004

Tohoku J. Exp. Med.

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After left internal mammary artery graft is anastomosed to the coronary artery, atherosclerotic occlusion of subclavian artery becomes more important, because the vascular segment between the origin of the subclavian artery and the coronary artery becomes a part of the coronary circulation functionally. The subclavian artery occlusion may be treated through percutaneous intervention including balloon angioplasty alone or with stent. But failure of initial treatment by percutaneous intervention is possible especially in some proximal and total occlusions. In those cases, surgical options include extraanatomic reconstruction, anatomic reconstruction with transthoracic approach or redo-coronary artery surgery in patients with coronary steal syndrome. In this retrospective study, the medical records of 66 patients underwent carotid-subclavian bypass under general or local anesthesia between January, 1990 and January, 2003 were reviewed to analyze the early and long-term results of carotidsubclavian bypass with polytetrafluoroethylene grafts. There were no intraoperative mortalities. There were only one peroperative cerebrovascular accident and one death due to myocardial ischemia early in the post-operative period. Over a mean follow up of 96 months (6 month-144 months), thirteen patients died due to various reasons and there were eleven late graft thrombosis. The primary patency rates at 1, 3, 5 and 10 years were 98%, 91%, 83% and 47%, and the overall survival rates at 1, 3, 5 and 10 years were 100%, 95%, 93% and 38%, respectively. Carotid-subclavian bypass with polytetrafluoroethylene grafts is a safe, effective and durable procedure. It can be easily applied even under regional anesthesia when percutaneous intervention is unsuccessful or impossible.carotid; subclavian; coronary artery; bypass

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“…Superior surgical technique is subclavian-carotid transposition (SCT) with excellent long-term results. [16] Also, Cinà et al [18] in their review concluded that SCT is safe and effective for reconstruction of the first segment of the SA and patency rates and clinical symptoms freedom are higher with SCT than with carotid subclavian bypass.…”

Section: Discussionmentioning

confidence: 99%

Transposition of Subclavian Artery – Is It the Appropriate Choice?

Lazovski

Jovev

Babič

et al. 2017

Prilozi

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Introduction: To present patients with symptomatic subclavian artery disease and treatment possibility. Case report: A 53-year-old female was admitted with vertigo and left arm claudication. Duplex-scan and MSCT arteriography verified subclavian artery occlusion. After the endovascular treatment failure, the patient was switched to surgical treatment -subclavian artery transposition. After the successful surgical treatment, the patient was discharged on the second postoperative day. If the patient is a candidate for surgery, the literature review shows good initial and long-term results after the subclavian artery transposition, and emphasizes this technique as superior. Conclusion: Subclavian carotid transposition is a safe and effective method of treatment in patients after endovascular treatment failure or other indication. Also, the surgical treatment is technically demanding because of the difficult access to the vessel origin, and it requires experienced surgeons.

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Subclavian carotid transposition and bypass grafting: Consecutive cohort study and systematic review

Abstract: Our cohort study showed that SCT is safe and effective for reconstruction of the first segment of the subclavian artery. The systematic review suggested that rates of patency and freedom from clinical symptoms are higher with SCT than with CSB.

Cited by 166 publications

References 34 publications

Outcomes of Thoracic Endovascular Aortic Repair and Subclavian Revascularization Techniques

Outcomes of Thoracic Endovascular Aortic Repair and Subclavian Revascularization Techniques

Carotid-Subclavian Bypass in Occlusive Disease of Subclavian Artery: More Important Today than Before

Transposition of Subclavian Artery – Is It the Appropriate Choice?

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