ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Occlusive Disease Of Subclavian Artery: Subclavian and Coronary Steal Syndrome
Bayer Çınar, Yavuz Enç, Mesut Kösem, Onur Göksel, İlhan Öztekin, İhsan Bakır, Erol Kurç, Sertaç Çiçek, Ergin Eren
Siyami Ersek Göğüs Kalp Damar Cerrahisi Eğitim ve Araştırma Hastanesi, Kalp Damar Cerrahisi Kliniği, İstanbul
Backgrounds: This review was conducted to analyze the long-term results of carotid-subclavian bypass with polytetrafluoroethylene (PTFE) grafts used for occlusive subclavian artery disease.

Methods: In this retrospective study, the medical records of 66 (54 for subclavian steal syndrome and 12 for coronary steal syndrome) patients undergone carotid-subclavian bypass between January 1990 and January 2003 were reviewed. Early (operative mortality and morbidity) and late results cumulative patency and overall survival rates were analyzed with life-table method.

Results: There was no intraoperative mortality and one case of mortality in 30-day follow-up. Only one peri-operative cerebrovascular accident was observed. Over a mean follow-up of 96 months (6-44 months) after operation, 13 patients died. 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.

Conclusions: Carotid-subclavian bypass with PTFE grafts is a safe, effective and durable procedure. It can be easily applied to patients under regional anaesthesia when percutaneous intervention is unsuccessful or impossible.

Keywords : Carotid, subclavian, coronary artery, bypass, steal syndrome
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