MID-TERM RESULTS OF SUBCLAVIAN STEAL SYNDROMES OPERATED BY CAROTICO-AXILLARY/SUBCLAVIAN BYPASS GRAFTS

Onur GÜRER, Fikri YAPICI, Bayer ÇINAR, Mesut KÖSEM, Yavuz ENÇ, Özge SEZERMAN

Dr. Siyami Ersek Göğüs Kalp Damar Cerrahisi Merkezi, Kalp ve Damar Cerrahisi Kliniği, İstanbul, Turkey

Background: The incidance of subclavian syndrome is higher than accepted and absolute cure is achived by surgical procedures in semptomatic patients.

Methods: In this study, the complications, mortality and patency rates of 25 cases trented with carotico-axillary or caratico-subklavian bybass techniques were retrospectively analyzed after 5 year follow up period.

Results: In one patient (4%) early and in one patient (4%) late graft occlusion were seen. The early graft occlusion was treated by emergency embolectomy, but late graft occlusion was not reoperated and followed up periodically. Total cumulative patency rate at 5 year was 96%. The 30 day and 5-year mortality rates were 4%, retrospectively. In one case (4%) hematoma of the surgical field, in one (4%) left hemiparesthesis and in another case (4%) upper extremity embolism were seen as early postoperative complications. In late postoperative period, one case (4%) was reoperated due to late graft infection.

Conclusions: Based on our results, carotico-axillary/subclavian bypass grafts can be performed with an acceptable morbidity and mortality when done by surgeon in considerable indications.

Keywords : Subclavian steal, graft, bypass, patency, extraanatomic

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