Subclavian Revascularization A Quarter Century Experience

Abstract

ObjectiveTwenty-five years of experience with subclavian revascularizations were reviewed to determine the long-term patency rates of different extrathoracic approaches. Summary Background DataAlthough it is generally agreed that proximal subclavian stenosis should be treated by an extrathoracic route whenever possible, the optimum procedure is debated. Alternatives include subclavian carotid bypass, subclavian-to-subclavian or axilloaxillary bypasses, and the authors' preferred technique of subclavian carotid transposition (SCT). MethodsRecords were researched for the past 25 years in a single specialty surgical clinic for extrathoracic subclavian revascularizations. One hundred ninety such procedures were identified, and hospital charts and office medical records were reviewed for procedure, preoperative symptoms, blood pressure differentials, and postoperative complications. Patency was determined by physical examination, differential blood pressures, Doppler spectral analysis, duplex examinations, and arteriography.

Treatment of complicated case with subclavia steal syndrome and stenosis of common iliac artery

“…Invasive options include carotid-subclavia bypass (CSB), carotid-subclavia transposition (CST), and axillo-axillary bypass. [23][24][25][26] With this presentation we would like to describe the realization of complex radiological interventional therapeutic procedures of treating subclavia steal syndrome and stenosis of the left common iliac artery, at the institute of Radiology KCUS under the supervision of a Bosnian expert Dr. Suad Jaganjac working at the Hamburg Klinik Eilbek in Germany.…”

Long-Term Treatment Outcomes after Intravascular Ultrasound Evaluation and Stent Placement for Atherosclerotic Subclavian Artery Obstructive Lesions

“…Some studies on surgical treatment and outcomes in subclavian artery stenosis reported a perioperative mortality rate of 0-1.8%, ischemic complication rate of 0-8%, and a fiveyear primary patency rate of 83-95% [4][5][6][7][8] . With surgical treatment, although the incidence is low, perioperative complications and mortality, as well as symptom recurrence, have been reported.…”

A case of acquired right-sided subclavian steal syndrome successfully treated with stenting using brachial approach

“…Traditionally, surgical revascularization has been the preferred treatment option with acceptable long-term results [5]. However, over the last two decades, endovascular therapy of localized supra-aortic vessel disease becomes an established therapy [6,7].…”