Related Experiment Videos
Arterial reconstruction for upper limb ischaemia: an alternative technique
S R Mohan1, T Cheatle, R P Grimley
1Department of Surgery, Wordsley Hospital, Stourbridge, West Midlands, UK.
Journal of the Royal College of Surgeons of Edinburgh
|June 1, 1990
Summary
Direct carotid-subclavian anastomosis offers comparable results to bypass grafts for treating subclavian artery occlusion. This surgical technique provides an effective alternative for upper limb ischemia reconstruction.
Area of Science:
- Vascular Surgery
- Arterial Reconstruction
- Upper Limb Ischemia
Background:
- Reconstructive arterial surgery for upper limb ischemia has been performed since the early 1950s.
- Subclavian artery occlusion is the most common site requiring surgical intervention.
- Carotid-subclavian bypass graft is the traditionally preferred method for reconstruction.
Purpose of the Study:
- To evaluate the efficacy of direct subclavian to carotid anastomosis.
- To compare the outcomes of direct anastomosis with the standard carotid-subclavian bypass graft.
- To present a case series of patients undergoing direct subclavian to carotid anastomosis.
Main Methods:
- Retrospective review of eight cases of subclavian artery occlusion.
- Surgical reconstruction using direct subclavian to carotid anastomosis.
- Comparison of outcomes with historical data on carotid-subclavian bypass grafts.
Main Results:
- Direct subclavian to carotid anastomosis was successfully performed in all eight cases.
- The outcomes of direct anastomosis were comparable to those reported for carotid-subclavian bypass.
- No major complications were reported in the presented case series.
Conclusions:
- Direct subclavian to carotid anastomosis is a viable and effective alternative for subclavian artery occlusion.
- This technique yields results comparable to the conventional carotid-subclavian bypass.
- Further studies may support direct anastomosis as a preferred surgical option for upper limb ischemia due to subclavian artery occlusion.