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A case report of four patients who underwent subclavian carotid transposition surgery for supra aortic trunk (subclavian) occlusions

MOHAN RADHAKRISHNAN

Abstract


Introduction- Subclavian to carotid transposition
-The technique of subclavian carotid
transposition (SCT) for the treatment
of proximal subclavian arterial occlusive
disease is gaining importance as
an adjuvant for Thoracic EndoVascular
Aortic Repair (TEVAR).There are two approaches
regarding this procedure .Here
we have shared our experience with medial
approach of Subclavian Carotid
Transposition with four patients. Abstract
- The four patients were managed with
subclavian transposition for proximal
subclavian occlusion. SCT were done in
these patients with medial approach
which was associated with lesser complications.
Median follow up of these patients
was six months. The luminal
patency of the transposed vessels was
good and the peripheral blood flow in the
operated upper limb was adequate. Conclusion
- The subclavian artery carotid
artery
transposition is a durable procedure in the
management of proximal subclavian artery
occlusions. Hence the medial approach is
associated with lesser complications and
excellent long term results with patency
comparing with lateral approach. Preservation
of side branches of subclavian artery is
possible in most cases which is important
for management of IHDs and thoracic aortic
pathology.


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