Subclavian Artery Revascularization: A Decade of Experience with Extrathoracic Bypass Procedures

Acute occlusion of the left subclavian artery causing a non-ST-elevation myocardial infarction with subacute lung edema due to a coronary subclavian steal syndrome—A case report

“…Alternatively, extrathoracic surgical revascularization with a bypass yields high success and durable patency rates [19].…”

Subclavian Steal Syndrome

“…8,[14][15][16][17][18][19][20] Balloon angioplasty and stenting can be performed when stenting is unlikely to compromise the vertebral circulation. Technical success of the percutaneous approach can be achieved in >90%, with 5-year patency rates of 85%.…”

“…However, the success rate is >80% if the common carotid is used in the bypass. Axillo-axillary bypass, by contrast, has significantly lower patency rates (46%) 18 and is therefore typically reserved for patients with elevated perioperative risk. Patients in whom central nervous symptoms predominate should have carotid stenoses addressed before any attempt at surgical revascularization of the subclavian system.…”

Open Reconstructions for Symptomatic Atherosclerotic Lesions of the Supra-aortic Vessels: Thirty Years Results from Two University Hospitals

“…Similar rates per year have been reported by other investigators as well. 27 Furthermore, as the KaplaneMeier curve for cumulative survival shows, more than 50% of the patients died within 10 years. This can be justified by the high incidence of serious comorbidities in this type of patients that leads to a decreasing long-term survival.…”