Axillo-wdllary bypass with polytetrafluoroethylene graft for coronary subclavian steal syndrome

作者：Song Li Po^*; Zhang Jian

来源：Vascular, 2012, 20(4): 188-192.

DOI：10.1258/vasc.2011.oa0344

• coronary subclavian steal syndrome
• axillo-axillary bypass
• subclavian artery occlusion
• coronary artery bypass graft
• polytetrafluoroethylene graft

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.

• 出版日期2012-8
• 单位首都医科大学