Surgical treatment of coronary subclavian steal syndrome with carotid subclavian bypass. 2003

Philip S K Paty, and Manish Mehta, and R Clement Darling, and Paul B Kreienberg, and Benjamin B Chang, and Sean P Roddy, and Kathleen J Ozsyath, and Dhiraj M Shah
Institute for Vascular Health and Disease, Albany Medical College, Albany 12208, NY, USA.

Coronary subclavian steal syndrome (CSS) results from proximal subclavian artery occlusive disease causing reversal of flow in an internal mammary artery used as conduit for coronary artery bypass leading to myocardial ischemia. Although percutaneous transluminal angioplasty and stent (PTAS) for subclavian lesions has been successful, it is not always feasible. In this study, the results of carotid subclavian bypass (CSB) for symptomatic CSS due to subclavian occlusion and stenosis not amenable to PTAS were analyzed. The records of patients undergoing CSB for CSS between 1991 and 2001 were reviewed. Patients with lesions not amenable to angioplasty or stent were selected for CSB. Degree of preoperative myocardial ischemia was stratified according to New York Heart Association classification. Graft patency was analyzed by life-table methods. Our results showed that CSB for treatment of symptomatic CSS can be performed safely with excellent mid-term durability. In the setting of proximal subclavian artery disease not amenable to PTAS, CSB provides an acceptable means of treatment for symptomatic CSS.

UI MeSH Term Description Entries
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D002339 Carotid Arteries Either of the two principal arteries on both sides of the neck that supply blood to the head and neck; each divides into two branches, the internal carotid artery and the external carotid artery. Arteries, Carotid,Artery, Carotid,Carotid Artery
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D012189 Retrospective Studies Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons. Retrospective Study,Studies, Retrospective,Study, Retrospective
D013348 Subclavian Artery Artery arising from the brachiocephalic trunk on the right side and from the arch of the aorta on the left side. It distributes to the neck, thoracic wall, spinal cord, brain, meninges, and upper limb. Arteries, Subclavian,Artery, Subclavian,Subclavian Arteries
D013349 Subclavian Steal Syndrome A clinically significant reduction in blood supply to the BRAIN STEM and CEREBELLUM (i.e., VERTEBROBASILAR INSUFFICIENCY) resulting from reversal of blood flow through the VERTEBRAL ARTERY from occlusion or stenosis of the proximal subclavian or brachiocephalic artery. Common symptoms include VERTIGO; SYNCOPE; and INTERMITTENT CLAUDICATION of the involved upper extremity. Subclavian steal may also occur in asymptomatic individuals. (From J Cardiovasc Surg 1994;35(1):11-4; Acta Neurol Scand 1994;90(3):174-8) Basilar Steal Syndrome,Brachial-Basilar Insufficiency Syndrome,Subclavian Artery Stenosis,Subclavian Steal,Subclavian Steal Phenomenon,Subclavian-Carotid Artery Steal Syndrome,Artery Stenoses, Subclavian,Artery Stenosis, Subclavian,Basilar Steal Syndromes,Brachial Basilar Insufficiency Syndrome,Brachial-Basilar Insufficiency Syndromes,Insufficiency Syndrome, Brachial-Basilar,Insufficiency Syndromes, Brachial-Basilar,Phenomenon, Subclavian Steal,Steal Phenomenon, Subclavian,Steal Syndrome, Basilar,Steal Syndrome, Subclavian,Steal Syndromes, Basilar,Steal Syndromes, Subclavian,Steal, Subclavian,Stenoses, Subclavian Artery,Stenosis, Subclavian Artery,Subclavian Artery Stenoses,Subclavian Carotid Artery Steal Syndrome,Subclavian Steal Syndromes,Syndrome, Brachial-Basilar Insufficiency,Syndromes, Brachial-Basilar Insufficiency
D014654 Vascular Patency The degree to which BLOOD VESSELS are not blocked or obstructed. Patency, Vascular,Patencies, Vascular,Vascular Patencies
D015993 Life Tables Summarizing techniques used to describe the pattern of mortality and survival in populations. These methods can be applied to the study not only of death, but also of any defined endpoint such as the onset of disease or the occurrence of disease complications. Life Table Analysis,Life Table Methods,Life Table Models,Life Table Estimates,Life Table Method,Analyses, Life Table,Analysis, Life Table,Estimate, Life Table,Estimates, Life Table,Life Table,Life Table Analyses,Life Table Estimate,Life Table Model,Method, Life Table,Methods, Life Table,Model, Life Table,Models, Life Table,Tables, Life
D019917 Blood Vessel Prosthesis Implantation Surgical insertion of BLOOD VESSEL PROSTHESES to repair injured or diseased blood vessels. Implantation, Blood Vessel Prosthesis,Vascular Prosthesis Implantation,Implantation, Vascular Prosthesis,Prosthesis Implantation, Vascular

Related Publications

Philip S K Paty, and Manish Mehta, and R Clement Darling, and Paul B Kreienberg, and Benjamin B Chang, and Sean P Roddy, and Kathleen J Ozsyath, and Dhiraj M Shah
October 2022, Brazilian journal of cardiovascular surgery,
Philip S K Paty, and Manish Mehta, and R Clement Darling, and Paul B Kreienberg, and Benjamin B Chang, and Sean P Roddy, and Kathleen J Ozsyath, and Dhiraj M Shah
July 1984, Journal of the Mississippi State Medical Association,
Philip S K Paty, and Manish Mehta, and R Clement Darling, and Paul B Kreienberg, and Benjamin B Chang, and Sean P Roddy, and Kathleen J Ozsyath, and Dhiraj M Shah
September 1974, The Western journal of medicine,
Philip S K Paty, and Manish Mehta, and R Clement Darling, and Paul B Kreienberg, and Benjamin B Chang, and Sean P Roddy, and Kathleen J Ozsyath, and Dhiraj M Shah
March 1985, Journal of vascular surgery,
Philip S K Paty, and Manish Mehta, and R Clement Darling, and Paul B Kreienberg, and Benjamin B Chang, and Sean P Roddy, and Kathleen J Ozsyath, and Dhiraj M Shah
September 1984, Journal of vascular surgery,
Philip S K Paty, and Manish Mehta, and R Clement Darling, and Paul B Kreienberg, and Benjamin B Chang, and Sean P Roddy, and Kathleen J Ozsyath, and Dhiraj M Shah
July 2022, CJC open,
Philip S K Paty, and Manish Mehta, and R Clement Darling, and Paul B Kreienberg, and Benjamin B Chang, and Sean P Roddy, and Kathleen J Ozsyath, and Dhiraj M Shah
January 2007, Hellenic journal of cardiology : HJC = Hellenike kardiologike epitheorese,
Philip S K Paty, and Manish Mehta, and R Clement Darling, and Paul B Kreienberg, and Benjamin B Chang, and Sean P Roddy, and Kathleen J Ozsyath, and Dhiraj M Shah
April 1986, Journal of vascular surgery,
Philip S K Paty, and Manish Mehta, and R Clement Darling, and Paul B Kreienberg, and Benjamin B Chang, and Sean P Roddy, and Kathleen J Ozsyath, and Dhiraj M Shah
January 1987, Zentralblatt fur Chirurgie,
Philip S K Paty, and Manish Mehta, and R Clement Darling, and Paul B Kreienberg, and Benjamin B Chang, and Sean P Roddy, and Kathleen J Ozsyath, and Dhiraj M Shah
January 1991, Cardiology,
Copied contents to your clipboard!