Jove
Visualize
Contact Us

Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

28
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
28
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies
  1. Home
  3. Two-year Patency Of The Left Vertebral Artery After Carotid-subclavian Bypass Or Transposition Before Thoracic Endovascular Aortic Repair In Zone Ii.
  1. Home
  3. Two-year Patency Of The Left Vertebral Artery After Carotid-subclavian Bypass Or Transposition Before Thoracic Endovascular Aortic Repair In Zone Ii.

Related Experiment Video

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
14:14

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Published on: December 11, 2017

14.2K

Two-Year Patency of the Left Vertebral Artery after Carotid-Subclavian Bypass or Transposition before Thoracic

Aude Gatinot1, Simon Rinckenbach2, Thomas Foret2

  • 1Department of Vascular Surgery, University Hospital of Besançon, Besançon, France.

Annals of Vascular Surgery
|July 23, 2025

View abstract on PubMed

Summary
This summary is machine-generated.

Carotid-subclavian bypass (CSB) and subclavian-carotid transposition (SCT) are surgical options before thoracic endovascular aneurysm repair (TEVAR). SCT demonstrated fewer complications and better long-term patency for the vertebral artery compared to CSB.

More Related Videos

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
04:56

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm

Published on: August 1, 2025

112
Novel and Innovative Hybrid Technique for Type A Aortic Dissection
06:26

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

489

Related Experiment Videos

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
14:14

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Published on: December 11, 2017

14.2K
Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
04:56

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm

Published on: August 1, 2025

112
Novel and Innovative Hybrid Technique for Type A Aortic Dissection
06:26

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

489

Area of Science:

  • Vascular Surgery
  • Thoracic Endovascular Aneurysm Repair (TEVAR)
  • Aortic Disease Management

Background:

  • Carotid-subclavian bypass (CSB) and subclavian-carotid transposition (SCT) are surgical techniques to revascularize the left subclavian artery (LSA) before TEVAR zone 2 coverage.
  • These procedures aim to maintain vertebral artery blood flow, preventing spinal cord ischemia.

Purpose of the Study:

  • To compare the outcomes of CSB versus SCT when performed prior to LSA coverage during TEVAR.
  • Key comparison points include vertebral artery patency and overall surgical complication rates.

Main Methods:

  • A bicentric retrospective study included consecutive patients undergoing CSB or SCT for thoracic aortic disease between 2017 and 2022.
  • Patient data were analyzed to compare complication rates, stroke, spinal cord injury, and vessel patency between the two surgical groups.

Main Results:

  • Eighty-six patients were analyzed (41 CSB, 49 SCT).
  • The CSB group experienced a higher complication rate (24.4%) compared to the SCT group (8.2%), including similar rates of stroke but higher rates of spinal cord injury.
  • At two years, 14.6% of vertebral arteries and 7.3% of grafts occluded in the CSB group, versus 4% of vertebral arteries in the SCT group.

Conclusions:

  • CSB prior to LSA coverage by TEVAR is associated with a higher incidence of postoperative complications.
  • SCT appears to offer a lower risk profile and better long-term patency for the vertebral artery compared to CSB in this context.