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Related Experiment Videos

Axilloaxillary bypass: is it worthwhile?

D Rosenthal1, R G Ellison, M D Clark

  • 1Department of Vascular Surgery, Georgia Baptist Medical Center, Medical College of Georgia, Atlanta.

The Journal of Cardiovascular Surgery
|March 1, 1988
PubMed
Summary
This summary is machine-generated.

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Axilloaxillary bypass is a safe and effective procedure for treating symptomatic subclavian artery disease, demonstrating excellent long-term patency rates up to 11 years with minimal complications.

Area of Science:

  • Vascular Surgery
  • Cardiovascular Medicine
  • Surgical Outcomes Research

Background:

  • Proximal subclavian artery disease poses treatment challenges.
  • Traditional surgical options carry significant risks for older, high-risk patients.

Purpose of the Study:

  • To evaluate the efficacy and long-term patency of axilloaxillary bypass.
  • To assess its safety and compare it to alternative treatments for symptomatic subclavian artery disease.

Main Methods:

  • Retrospective review of 32 patients undergoing axilloaxillary bypass.
  • Follow-up extended up to 11 years.
  • Analysis of graft patency, complications, and patient outcomes.

Main Results:

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  • No operative deaths or limb loss occurred.
  • Overall late patency rate was 87% over 11 years.
  • Graft thrombosis (3) and infection (1) were the main late failures.

    • Conclusions:

    • Axilloaxillary bypass avoids risks of carotid manipulation and thoracotomy.
    • It is a safe, simple procedure with excellent long-term patency.
    • Recommended as a primary treatment for symptomatic subclavian artery disease.