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Surgery of the innominate artery
The Journal of Cardiovascular Surgery
|January 1, 1986
Summary
Surgical repair of innominate artery stenosis offers good long-term outcomes. This study shows high survival and patent reconstructions after various surgical techniques for innominate artery disease.
Area of Science:
- Vascular Surgery
- Cardiovascular Surgery
Background:
- Innominate artery (IA) stenosis or obliteration can lead to significant cerebrovascular compromise.
- Surgical intervention is a key treatment modality for IA disease.
Purpose of the Study:
- To review surgical outcomes for innominate artery (IA) disease.
- To evaluate different surgical techniques and their indications for IA stenosis.
Main Methods:
- Retrospective review of 28 patients undergoing surgical treatment for IA obliteration or stenosis.
- Analysis of intrathoracic and extrathoracic surgical approaches, including bypass grafting.
- Assessment of immediate and long-term patency and survival rates.
Main Results:
- 85.7% of patients had good immediate results after surgery.
- Long-term survival at 5 years was 94.8% with patent reconstructions.
- Early thrombosis occurred in 3 patients (10.7%), with one mortality.
Conclusions:
- Surgical treatment for innominate artery disease yields favorable long-term results.
- End-to-side aortic graft and end-to-end innominate artery anastomosis is preferred when feasible.
- This technique ensures adequate revascularization and optimal hemodynamics for the right vertebral and carotid arteries.