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.