Subclavian Artery-Carotid Artery Bypass for Subclavian Artery or Common Carotid Artery Severe Stenosis or Occlusion
Various surgical treatments are available for occlusive subclavian and common carotid artery diseases. Nevertheless, to date, when cerebral endovascular treatment is utilized, revascularization via direct surgery may be required. This study reported five symptomatic cases of revascularization for CC...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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The Japan Neurosurgical Society
2023-06-01
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| Series: | Neurologia Medico-Chirurgica |
| Subjects: | |
| Online Access: | https://www.jstage.jst.go.jp/article/nmc/63/6/63_2022-0307/_pdf/-char/en |
| _version_ | 1797785419989909504 |
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| author | Koji YAMAGUCHI Takayuki FUNATSU Yosuke MOTEKI Taku NONAKA Akihiro NIWA Kosuke IMANAKA Kilsoo KIM Tatsuya ISHIKAWA Tatsuki MOCHIZUKI Yoshikazu OKADA Takakazu KAWAMATA |
| author_facet | Koji YAMAGUCHI Takayuki FUNATSU Yosuke MOTEKI Taku NONAKA Akihiro NIWA Kosuke IMANAKA Kilsoo KIM Tatsuya ISHIKAWA Tatsuki MOCHIZUKI Yoshikazu OKADA Takakazu KAWAMATA |
| author_sort | Koji YAMAGUCHI |
| collection | DOAJ |
| description | Various surgical treatments are available for occlusive subclavian and common carotid artery diseases. Nevertheless, to date, when cerebral endovascular treatment is utilized, revascularization via direct surgery may be required. This study reported five symptomatic cases of revascularization for CCA and SCA occlusive and stenotic lesions that were expected to be challenging to treat with endovascular treatment. We performed subclavian artery-common carotid artery or internal carotid artery bypass using artificial blood vessels or saphenous vein grafts in five patients with subclavian steal syndrome, symptomatic common carotid artery occlusion, and severe proximal common carotid artery stenosis. In this study, good bypass patency was achieved in all five cases. Although there were no intraoperative complications, one patient had a postoperative lymphatic leak. Moreover, there was no recurrence of stroke during postoperative follow-up for an average of 2 years. Conclusively, subclavian artery-common carotid artery bypass can be an effective surgical treatment for common carotid artery occlusion, proximal common carotid artery stenosis, and subclavian artery occlusion. |
| first_indexed | 2024-03-13T00:53:50Z |
| format | Article |
| id | doaj.art-10b44615f29f4986ad124819230fe1ed |
| institution | Directory Open Access Journal |
| issn | 1349-8029 |
| language | English |
| last_indexed | 2024-03-13T00:53:50Z |
| publishDate | 2023-06-01 |
| publisher | The Japan Neurosurgical Society |
| record_format | Article |
| series | Neurologia Medico-Chirurgica |
| spelling | doaj.art-10b44615f29f4986ad124819230fe1ed2023-07-07T07:41:26ZengThe Japan Neurosurgical SocietyNeurologia Medico-Chirurgica1349-80292023-06-0163622122710.2176/jns-nmc.2022-03072022-0307Subclavian Artery-Carotid Artery Bypass for Subclavian Artery or Common Carotid Artery Severe Stenosis or OcclusionKoji YAMAGUCHI0Takayuki FUNATSU1Yosuke MOTEKI2Taku NONAKA3Akihiro NIWA4Kosuke IMANAKA5Kilsoo KIM6Tatsuya ISHIKAWA7Tatsuki MOCHIZUKI8Yoshikazu OKADA9Takakazu KAWAMATA10Department of Neurosurgery, Tokyo Women's Medical UniversityDepartment of Neurosurgery, Tokyo Women's Medical UniversityDepartment of Neurosurgery, Tokyo Women's Medical UniversityDepartment of Neurosurgery, Tokyo Women's Medical UniversityDepartment of Neurosurgery, Tokyo Women's Medical UniversityDepartment of Neurosurgery, Tokyo Women's Medical UniversityDepartment of Neurosurgery, Tokyo Women's Medical UniversityDepartment of Neurosurgery, Tokyo Women's Medical UniversityDepartment of Neurosurgery, St. Luke's International HospitalDepartment of Neurosurgery, St. Luke's International HospitalDepartment of Neurosurgery, Tokyo Women's Medical UniversityVarious surgical treatments are available for occlusive subclavian and common carotid artery diseases. Nevertheless, to date, when cerebral endovascular treatment is utilized, revascularization via direct surgery may be required. This study reported five symptomatic cases of revascularization for CCA and SCA occlusive and stenotic lesions that were expected to be challenging to treat with endovascular treatment. We performed subclavian artery-common carotid artery or internal carotid artery bypass using artificial blood vessels or saphenous vein grafts in five patients with subclavian steal syndrome, symptomatic common carotid artery occlusion, and severe proximal common carotid artery stenosis. In this study, good bypass patency was achieved in all five cases. Although there were no intraoperative complications, one patient had a postoperative lymphatic leak. Moreover, there was no recurrence of stroke during postoperative follow-up for an average of 2 years. Conclusively, subclavian artery-common carotid artery bypass can be an effective surgical treatment for common carotid artery occlusion, proximal common carotid artery stenosis, and subclavian artery occlusion.https://www.jstage.jst.go.jp/article/nmc/63/6/63_2022-0307/_pdf/-char/ensubclavian artery-carotid artery bypasscommon carotid artery occlusionsubclavian artery occlusionsubclavian steal phenomenondirect surgery |
| spellingShingle | Koji YAMAGUCHI Takayuki FUNATSU Yosuke MOTEKI Taku NONAKA Akihiro NIWA Kosuke IMANAKA Kilsoo KIM Tatsuya ISHIKAWA Tatsuki MOCHIZUKI Yoshikazu OKADA Takakazu KAWAMATA Subclavian Artery-Carotid Artery Bypass for Subclavian Artery or Common Carotid Artery Severe Stenosis or Occlusion Neurologia Medico-Chirurgica subclavian artery-carotid artery bypass common carotid artery occlusion subclavian artery occlusion subclavian steal phenomenon direct surgery |
| title | Subclavian Artery-Carotid Artery Bypass for Subclavian Artery or Common Carotid Artery Severe Stenosis or Occlusion |
| title_full | Subclavian Artery-Carotid Artery Bypass for Subclavian Artery or Common Carotid Artery Severe Stenosis or Occlusion |
| title_fullStr | Subclavian Artery-Carotid Artery Bypass for Subclavian Artery or Common Carotid Artery Severe Stenosis or Occlusion |
| title_full_unstemmed | Subclavian Artery-Carotid Artery Bypass for Subclavian Artery or Common Carotid Artery Severe Stenosis or Occlusion |
| title_short | Subclavian Artery-Carotid Artery Bypass for Subclavian Artery or Common Carotid Artery Severe Stenosis or Occlusion |
| title_sort | subclavian artery carotid artery bypass for subclavian artery or common carotid artery severe stenosis or occlusion |
| topic | subclavian artery-carotid artery bypass common carotid artery occlusion subclavian artery occlusion subclavian steal phenomenon direct surgery |
| url | https://www.jstage.jst.go.jp/article/nmc/63/6/63_2022-0307/_pdf/-char/en |
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