To determine factors influencing results of operation for proximal brachiocephalic arterial disease, a 16-year review of 74 consecutive patients was undertaken. A total of 62 subclavian, 14 common carotid, 6 innominate, and 2 vertebral arteries were revascularized during 79 procedures. The approach was transthoracic in 12 operations and extrathoracic in 67. Mean follow-up was 57 ± 45 months. Two patients (2.5%) died of stroke after extrathoracic revascularization of the common carotid artery. Cumulative 5-year and 10-year freedom from neurological events was 81% and 75%, respectively. The best results were obtained with transthoracic procedures, with revascularization of the subclavian artery rather than the common carotid artery, and in operations performed in patients without associated distal carotid disease. In view of the recent progress in operative techniques and postoperative surgical care, the choice between the transthoracic approach and the extrathoracic approach should not be biased; rather, they should remain equal and viable alternatives based on anatomical and clinical features of the individual patients. © 1989.

Extrathoracic and transthoracic management of vascular disease of the aortic arch branches: A 16-year experience / Farina, C.; Sterpetti, A. V.; Schultz, R. D.; Feldhaus, R. J.; Davenport, K.. - In: ANNALS OF THORACIC SURGERY. - ISSN 0003-4975. - 47:4(1989), pp. 580-585. [10.1016/0003-4975(89)90437-2]

Extrathoracic and transthoracic management of vascular disease of the aortic arch branches: A 16-year experience

Sterpetti A. V.
Secondo
Conceptualization
;
1989

Abstract

To determine factors influencing results of operation for proximal brachiocephalic arterial disease, a 16-year review of 74 consecutive patients was undertaken. A total of 62 subclavian, 14 common carotid, 6 innominate, and 2 vertebral arteries were revascularized during 79 procedures. The approach was transthoracic in 12 operations and extrathoracic in 67. Mean follow-up was 57 ± 45 months. Two patients (2.5%) died of stroke after extrathoracic revascularization of the common carotid artery. Cumulative 5-year and 10-year freedom from neurological events was 81% and 75%, respectively. The best results were obtained with transthoracic procedures, with revascularization of the subclavian artery rather than the common carotid artery, and in operations performed in patients without associated distal carotid disease. In view of the recent progress in operative techniques and postoperative surgical care, the choice between the transthoracic approach and the extrathoracic approach should not be biased; rather, they should remain equal and viable alternatives based on anatomical and clinical features of the individual patients. © 1989.
1989
Adult; Aged; Arteriosclerosis; Blood Vessel Prosthesis; Cause of Death; Female; Follow-Up Studies; Humans; Length of Stay; Male; Middle Aged; Postoperative Complications; Risk Factors; Takayasu Arteritis; Thoracic Surgery; Vascular Patency
01 Pubblicazione su rivista::01a Articolo in rivista
Extrathoracic and transthoracic management of vascular disease of the aortic arch branches: A 16-year experience / Farina, C.; Sterpetti, A. V.; Schultz, R. D.; Feldhaus, R. J.; Davenport, K.. - In: ANNALS OF THORACIC SURGERY. - ISSN 0003-4975. - 47:4(1989), pp. 580-585. [10.1016/0003-4975(89)90437-2]
File allegati a questo prodotto
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1442037
 Attenzione

Attenzione! I dati visualizzati non sono stati sottoposti a validazione da parte dell'ateneo

Citazioni
  • ???jsp.display-item.citation.pmc??? 1
  • Scopus 7
  • ???jsp.display-item.citation.isi??? 5
social impact