Summary
Employing an extrathoracic approach 10 patients were operated upon for 12 obstructive lesions of the subclavian arteries using carotidsubclavian anastomosis. The operation was indicated 3 times for the pathological entity of arterial stenosis embolizing into the vascular periphery, 3 times for claudication of the upper extremity and 4 times for cerebro-vascular insufficiency. Followed up to 31 months all anastomoses remained patent. All the complications were managed conservatively and were considered of minor importance.
Zusammenfassung
An 10 Patienten wurden 12 Subclavia-Carotis-Transpositionen (Seit-End-Anastomosen) von einem extrathorakalen Zugang aus angelegt. Die Indikation wurde 3mal in einer embolisierenden Stenose, 3mal in den Symptomen der Mangeldurchblutung der oberen Extremität und 4mal in den Symptomen der cerebro-vasculären Insuffizienz gesehen. Alle Anastomosen blieben bei einer Nachbeobachtungszeit bis zu 31 Monaten offen, die postoperativen Komplikationen waren von geringer Wertigkeit und konnten alle konservativ beherrscht werden.
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Kretschmer, G., Pølterauer, P., Piza, F. et al. Subclavia-Carotis-Transposition in der therapie von läsionen der proximalen A. subclavia. Langenbecks Arch Chiv 359, 197–203 (1983). https://doi.org/10.1007/BF01250982
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DOI: https://doi.org/10.1007/BF01250982