Journal article
Is there a conduit of preference for a bypass between the carotid and subclavian arteries?
The American journal of surgery, Vol.166(2), pp.157-162
1993
DOI: 10.1016/S0002-9610(05)81048-7
PMID: 8352408
Abstract
The conduit of choice for a bypass between the carotid and subclavian arteries remains controversial. We retrospectively evaluated 32 patients who underwent bypass between the carotid and subclavian arteries. Perioperative mortality was limited to a single patient who sustained a myocardial infarction. Long-term follow-up (mean: 46 months) revealed an 87% stroke-free survival rate, a 74% neurologic symptom-free survival rate, and a 77% primary patency rate at 5 years. No overall difference was discerned between a prosthetic or an autogenous vein conduit. However, in bypasses constructed from the subclavian artery to the level of the carotid bifurcation, 100% (nine of nine) of vein bypasses remained primarily patent compared with 40% (two of five) of prosthetic grafts (p<0.05). No distinct patency difference was identified between a short vein or a prosthetic bypass constructed between the proximal common carotid artery and subclavian artery. A vein bypass results in superior patency compared with a prosthetic graft for longer bypasses constructed from the subclavian artery to the carotid artery bifurcation.
Details
- Title: Subtitle
- Is there a conduit of preference for a bypass between the carotid and subclavian arteries?
- Creators
- Alan Y SynnRoderick T.A ChalmersWilliam J SharpJamal J HoballahTimothy F KresowikJohn D Corson
- Resource Type
- Journal article
- Publication Details
- The American journal of surgery, Vol.166(2), pp.157-162
- Publisher
- Elsevier Inc
- DOI
- 10.1016/S0002-9610(05)81048-7
- PMID
- 8352408
- ISSN
- 0002-9610
- eISSN
- 1879-1883
- Language
- English
- Date published
- 1993
- Academic Unit
- Radiology; Surgery
- Record Identifier
- 9984051547202771
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