Axillo-axillary bypass with polytetrafluoroethylene graft for coronary subclavian steal syndrome.

Abstract

The purpose of this study is to report the results of axillo-axillary bypass (AAB) for coronary subclavian steal syndrome due to proximal subclavian artery occlusion. From 2003 to 2010, AAB using a polytetrafluoroethylene (PTFE) graft was performed in 11 patients with coronary subclavian steal syndrome. There was no perioperative mortality, stroke or cardiac complications. Over a mean follow-up of 36 months (range: 6-81 months), all bypass grafts have remained patent. No patient developed recurrent symptoms of myocardial ischemia. One patient died from hemorrhagic stroke at 31 months. Our results showed that AAB using a PTFE graft provides an effective and durable treatment option for coronary subclavian steal syndrome when attempted endovascular therapy of the occluded proximal subclavian artery is unsuccessful.

• Authors: Li Po Song, Jian Zhang
• Journal: Vascular (Vascular) Vol. 20 Issue 4 Pg. 188-92 (Aug 2012) ISSN: 1708-5381 [Print] England
• PMID: 22688926 (Publication Type: Journal Article)

Chemical References

• Polytetrafluoroethylene

Topics

• Aged
• Aged, 80 and over
• Axillary Artery (surgery)
• Blood Vessel Prosthesis
• Blood Vessel Prosthesis Implantation (adverse effects, instrumentation)
• China
• Coronary-Subclavian Steal Syndrome (physiopathology, surgery)
• Female
• Humans
• Male
• Middle Aged
• Polytetrafluoroethylene
• Prosthesis Design
• Retrospective Studies
• Subclavian Artery (surgery)
• Time Factors
• Treatment Outcome
• Vascular Patency