Extrathoracic Exposure for Distal Revascularization of Brachiocephalic Branches

Haimovici, Henry

doi:10.1002/9780470755815.ch24

Cited by 1 publication

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“…The main surgical approach to arteries for a CSB surgery is the supraclavicular approach [ 1 ] . A transverse skin incision of approximately 8-10 cm-long, about 2 cm above the clavicle, starting from the clavicular head and extending to the lateral portion of the supraclavicular region, was described [ 20 ] . The medial approach includes division of both bellies of the sternocleidomastoid muscle, and the lateral approach includes division of only its lateral belly [ 21 ] .…”

Section: Discussionmentioning

confidence: 99%

Mid-Term Results of Left Carotid-Subclavian Bypass in Patients Undergoing Zone 2 TEVAR

İnce

Altinay

Huseynov

et al. 2022

Braz J Cardiovasc Surg

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Introduction The aim of this study was to present the mid-term results of patients who had undergone a carotid-subclavian bypass surgery after a thoracic endovascular aortic repair (TEVAR) stent-graft implantation with proximal landing at zone 2 of the aorta. Methods A total of 66 patients had undergone TEVAR and carotid-subclavian bypass between January 2015 and May 2020 at our clinic. Five of these patients were lost to follow-up, so 61 patients were included in this retrospective study. At follow-up visits, patency of the carotid-subclavian bypass grafts was evaluated with physical examination and radiological imaging. Results The mean follow-up time was 15.11±12.29 months (ranging from 1 to 56 months). There were 3 (4.91%) in-hospital deaths of patients admitted with bilateral lower limb and visceral malperfusion. There were also 2 (3.27%) deaths unrelated to the procedure. Carotid-subclavian graft occlusion occurred in 3 (4.91%) patients. The occlusion was detected with radiological imaging within a period of 12 to 24 months. The graft patency rate was 100% in the first 12 months. The mean graft patency time (survival) was 52.56±2.10 months. Conclusion Periprocedural carotid-subclavian bypass surgery with synthetic grafts is a recommended procedure with high patency and acceptably low mortality and morbidity rates in TEVAR.

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Section: Discussionmentioning

confidence: 99%