ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Surgical treatment alternatives for occlusive disease of the subclavian artery based on our clinical experience
Faik Fevzi Okur1, Veysel Şahin2, İhsan Sami Uyar1, Feyzi Abacılar1, Beşir Akpınar2, Volkan Yurtman2, Emin Alp Alayunt1, Mehmet Ateş1
1Department of Cardiovascular Surgery, Medical Faculty Şifa University, İzmir, Turkey
2Department of Cardiovascular Surgery, Şifa Medical Center, İzmir, Turkey
DOI : 10.5606/tgkdc.dergisi.2012.152
Background: In this study, we described the outcomes of the procedures including subclavian carotid transposition (SCT), carotid subclavian bypass (CSB) and subclaviansubclavian bypass (SSB).

Methods: Between January 1999 and December 2009, the medical records of 20 patients (19 males, 1 female; mean age 58.5 years; range 46 to 73 years) undergoing surgical intervention for symptomatic occlusive subclavian artery disease in our clinic were retrospectively analyzed. Ten of these patients underwent SCT, six underwent CSB and four underwent SSB. All patients had symptoms of severe subclavian artery insufficiency and a significant decrease of >50 mmHg in systolic blood pressure on the affected side. The mean follow-up was 7.1±2.1 years (range, 2-10 years).

Results: Immediate relief of symptoms was achieved in 100% of patients, with an early graft success (30-day patency) of 95%. As noted primary patency rates at 1, 5, and 10 years in SCT series were %100, %100, %90, in CSB series %100, %83.3, % 66.7, in SSB series %100, %50, %50 respectively.

Conclusion: The comparison of the early and late postoperative results show that transposition of subclavian artery to carotid artery is a safe, effective and durable procedure in eligible patients.

Keywords : Subclavian artery stenosis; subclavian steal syndrome; supraaortic reconstruction
Viewed : 8961
Downloaded : 1943