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Effects of different bypass surgeries on LSA revascularization in patients with left subclavian occlusion
Da Li1,2, Xiangguo Zeng1, Jiarong Wang3
1Department of Applied Mechanics, Sichuan University, Chengdu, China.
Insights
Left common carotid artery to distal LSA bypass effectively restores blood flow and eliminates reversed flow in patients with left subclavian artery occlusion. This surgical option is safe and effective for LSA revascularization.
Area of Science:
- Vascular surgery
- Cardiovascular hemodynamics
- Computational fluid dynamics
Background:
- Severe left subclavian artery (LSA) occlusion necessitates bypass surgery.
- Evaluating hemodynamic effects of different LSA bypass techniques is crucial for optimizing revascularization.
Observation:
- Three-dimensional aorta models were used to simulate LSA occlusion and four bypass modes.
- Hemodynamic parameters including flow, pressure gradient, and wall shear stress were analyzed.
Findings:
- Left common carotid artery (LCCA) to distal LSA bypass achieved 100% of healthy LSA blood flow.
- This bypass mode completely eliminated reversed flow, unlike other modes which showed early systolic reversal.
Implications:
- LCCA to distal LSA bypass is a feasible and effective revascularization strategy.
- This method significantly reduces reversed blood flow in the left vertebral artery.
- The findings support LCCA to distal LSA bypass as a safe option for LSA occlusion patients.
Introduction:
Left subclavian artery (LSA) bypass surgery is mainly carried out for patients with severe left subclavian occlusion. This article aimed to evaluate the hemodynamic effects of different surgical bypass modes on LSA revascularization.
Methods:
Three-dimensional models of the aorta were reconstructed from CTA images of a patient with LSA occlusion, a patient with type B aortic dissection with LSA coverage during thoracic endovascular aortic repair, and a healthy 74-year-old man, resulting in six modes for each person: healthy LSA mode, LSA occlusion mode and four bypass modes. Hemodynamic parameters, including flow field, flow distribution, pressure gradient, and wall shear stress, were calculated using computational fluid dynamics.
Results:
After LSA bypass surgery, distal LSA blood flow resulting from left common carotid artery (LCCA) to distal LSA bypass was 100% of that in the healthy mode, while the other modes yielded flows at least 91%. Moreover, reversed flow only completely disappeared with LCCA to distal LSA bypass, whereas reverse flow was observed in the other three modes in early systole.
Conclusion:
Left common carotid artery to distal LSA bypass can effectively reduce reverse blood flow in the left vertebral artery, and it is a feasible, effective, and safe option for LSA revascularization in patients with left subclavian occlusion.
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