Related Experiment Videos
Large-vessel arterial occlusive disease in symptomatic upper extremity
Archives of Surgery (Chicago, Ill. : 1960)
|November 1, 1984
Summary
Vascular reconstructions for subclavian and axillary artery occlusive disease show high graft patency. This study highlights effective surgical management for upper extremity symptoms in 28 patients.
Area of Science:
- Vascular Surgery
- Arterial Diseases
Background:
- Subclavian and axillary artery occlusive disease can cause significant upper extremity symptoms.
- Surgical intervention is often necessary to restore blood flow and alleviate symptoms.
Purpose of the Study:
- To review the outcomes of vascular reconstructions for subclavian and axillary artery occlusive disease.
- To analyze patient demographics, lesion characteristics, and graft patency rates.
Main Methods:
- Retrospective review of 30 vascular reconstructions in 28 patients over ten years.
- Analysis of patient demographics, lesion location, graft materials, and surgical procedures.
- Assessment of in-hospital and long-term graft patency.
Main Results:
- Female patients predominated (2.5:1 ratio) with an average age of 61 years.
- Proximal subclavian lesions were predominantly left-sided; distal lesions were equally distributed.
- High graft patency rates were observed: 93% in-hospital and 88% at one year and beyond.
Conclusions:
- Extrathoracic bypass grafting is an effective treatment for subclavian and axillary artery occlusive disease.
- High long-term graft patency rates support surgical reconstruction for these conditions.
- Autogenous vein grafts showed good results for axillary/brachial artery bypasses.