Transthoracic repair of innominate and common carotid artery disease: Immediate and long-term outcome for 100 consecutive surgical reconstructions

Berguer, Ramón; Morasch, Mark D.; Kline, Ronald A.

doi:10.1016/s0741-5214(98)70289-7

Cited by 134 publications

(96 citation statements)

References 20 publications

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“…Graft patency is excellent, but the combined rate of perioperative stroke and death is as high as 16%. 705,706 Survival after transthoracic arterial reconstruction has been reported as 73% and 52% at 5 and 10 years, respectively. 705 Whether or not symptomatic of carotid atherosclerosis, patients with high-grade carotid artery stenosis undergoing CABG surgery face a higher risk of stroke than patients without carotid disease, but most strokes are mechanistically unrelated to carotid disease.…”

Section: Revascularization Of the Brachiocephalic And Subclavian Artementioning

confidence: 99%

“…705,706 Survival after transthoracic arterial reconstruction has been reported as 73% and 52% at 5 and 10 years, respectively. 705 Whether or not symptomatic of carotid atherosclerosis, patients with high-grade carotid artery stenosis undergoing CABG surgery face a higher risk of stroke than patients without carotid disease, but most strokes are mechanistically unrelated to carotid disease. Considerable evidence suggests that patients undergoing combined CABG surgery plus CEA are at high risk of stroke, but there is no convincing evidence that such intervention in a patient with asymptomatic stenosis undergoing CABG surgery produces benefit in the majority of cases.…”

Section: Revascularization Of the Brachiocephalic And Subclavian Artementioning

confidence: 99%

See 1 more Smart Citation

2011 ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/CNS/SAIP/SCAI/SIR/SNIS/SVM/SVS Guideline on the Management of Patients With Extracranial Carotid and Vertebral Artery Disease

Brott¹,

Halperin²,

Abbara

et al. 2011

Stroke

143

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Section: Revascularization Of the Brachiocephalic And Subclavian Artementioning

confidence: 99%

Section: Revascularization Of the Brachiocephalic And Subclavian Artementioning

confidence: 99%

2011 ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/CNS/SAIP/SCAI/SIR/SNIS/SVM/SVS Guideline on the Management of Patients With Extracranial Carotid and Vertebral Artery Disease

Brott¹,

Halperin²,

Abbara

et al. 2011

Stroke

143

View full text Add to dashboard Cite

“…Subclavian artery occlusive disease occurs in relatively younger patients (mean age 49 -69 years) than more common types of atherosclerotic disease [8][9][10]. While in most reports there is only slight predominance of male patients, female patients have represented the majority in several studies [11,12].…”

Section: Discussionmentioning

confidence: 99%

A case of acquired right-sided subclavian steal syndrome successfully treated with stenting using brachial approach

Dragičević¹,

Škorić²,

Kolić³

et al. 2014

CRCM

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Subclavian steal syndrome (SSS) is defined as a group of symptoms that arise from reversed blood flow in the ipsilateral vertebral artery. It is the consequence of proximal occlusion or highgrade stenosis of the subclavian artery. The subclavian obstructive lesions are mostly located in the proximal segment of the subclavian artery and predominantly on the left side. In contrast, there are only a small number of patients that present with right-sided symptoms and even fewer with bilateral symptoms. Endovascular therapy of occlusions and high-grade stenosis of subclavian artery proximal to the origin of the vertebral artery becomes an established therapy in last two decades. We report a case of successful endovascular treatment of right-sided subclavian steal and high-grade (80%) right subclavian artery stenosis due to atherosclerotic occlusive disease with balloon-expandable stent using brachial approach.

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“…Alguns autores também preferem a abordagem torácica para lesões da artéria inominada, sobretudo quando associadas às lesões da artéria carótida comum esquerda 13 . O risco cardiopulmonar, mediastinotomia prévia, radiação ou infecção também são importantes variáveis que determinam a escolha do procedimento.…”

Section: Discussionunclassified

Derivação carótido-carotídea por via retrofaríngea: seguimento tardio

Aerts

Erling²,

Lichtenfels

2005

J. vasc. bras.

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* Trabalho ganhador do prêmio Juan Carlos Parodi no V PanamericanCongress on Vascular and Endovascular Surgery, Rio de Janeiro, de 5 a 8 de novembro de 1998. 387 AbstractA variety of therapeutic options are available to manage the disease of supra-aortic trunks based on clinical presentations and anatomic location of the arterial lesions. The cervical approach is accepted as having low morbidity and mortality with elevated long-term patency. The authors report a successfully treated case of carotid-carotid crossover bypass by the retropharyngeal route associated with endarterectomy of carotid bifurcation. We also discuss clinical aspects, and surgical or endovascular options for the best treatment of these patients.Key words: carotid stenosis, carotid endarterectomy, vascular diseases. ResumoExistem diversas opções para o tratamento da doença oclusiva dos troncos supra-aórticos, de acordo com a apresentação clínica e a localização das lesões arteriais. As abordagens cervicais são aceitas como alternativas de baixa morbimortalidade, com elevada perviedade em longo prazo. Os autores relatam um caso tratado com sucesso através de derivação carótido-carotídea cruzada por via retrofaríngea associada à endarterectomia da bifurcação carotídea. São discutidos também os aspectos clínicos e as opções cirúrgicas ou endovasculares para o melhor tratamento desses pacientes.Palavras-chave: estenose das carótidas, endarterectomia das carótidas, doenças vasculares. RELATO DE CASOA doença aterosclerótica cerebrovascular extracraniana é normalmente causada por lesões situadas na bifurcação carotídea. Existe um pequeno grupo de pacientes que apresenta doença oclusiva aterosclerótica mais proximal, muitas vezes envolvendo mais de um tronco vascular ou mesmo o arco aórtico 1 . A cirurgia inicialmente proposta por DeBakey et al. para esses pacientes consistia na abordagem direta do arco aórtico por acesso transtorácico para a realização de derivações ou endarterectomias 2 . No entanto, foram demonstradas elevadas taxas de morbimortalidade com esses procedimentos 3 . Nesse contexto, as derivações extraanatômicas ganharam aceitação por sua fácil realização, aliada a menores taxas de complicações e óbitos [4][5][6] . As derivações que atravessam a linha média são tradicionalmente realizadas pela região cervical anterior, com a utilização de um túnel subcutâneo 5,6 . Por outro lado, a via retrofaríngea descrita por Berguer 7 é o caminho mais curto para as revascularizações transcervicais. O objetivo deste trabalho é relatar um caso em que se realizou uma derivação carótido-carotídea retrofarín-gea, apresentando o seu seguimento tardio. Relato do casoPaciente masculino de 67 anos consulta por apresentar três episódios de ictus transitório nos últimos 6 meses, com déficit motor em membro superior direito. Negava sintomas isquêmicos em membros superiores. Como comorbidades, o paci-

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Transthoracic repair of innominate and common carotid artery disease: Immediate and long-term outcome for 100 consecutive surgical reconstructions

Cited by 134 publications

References 20 publications

2011 ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/CNS/SAIP/SCAI/SIR/SNIS/SVM/SVS Guideline on the Management of Patients With Extracranial Carotid and Vertebral Artery Disease

2011 ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/CNS/SAIP/SCAI/SIR/SNIS/SVM/SVS Guideline on the Management of Patients With Extracranial Carotid and Vertebral Artery Disease

A case of acquired right-sided subclavian steal syndrome successfully treated with stenting using brachial approach

Derivação carótido-carotídea por via retrofaríngea: seguimento tardio

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