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Updated: Aug 17, 2026

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
Published on: September 13, 2020
Cross-over axillary by-pass. Treatment of subclavian or innominate artery obstructive lesions
S Stipa1, A Cavallaro, V Sciacca
1Department of Surgery, School of Medicine, University La Sapienza, Rome, Italy.
Abstract:
A 13-year experience consisting on 16 consecutive patients submitted to axillary-to-contralateral artery by-pass in the treatment of obstructive lesions of the subclavian or innominate artery is reported. Nine patients complained of typical subclavian steal syndrome. Extended patency with very satisfactory functional result was achieved in twelve patients. An extensive survey is made of the results of such procedure, as reported in the literature. The theoretical advantages in comparison with other kinds of extrathoracic procedures aiming at the same goal are briefly outlined.
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