Current status of vascular grafting in supraaortic trunks. Personal experience.
Two-hundred forty-nine patients underwent prosthesis implantation for supraaortic trunk disease. The most frequently used technique for lesions of the innominate artery was direct repair via sternotomy. Mortality was very low (2.8%) and at 97.3% late patency was excellent (mean follow-up: six years). Extra-anatomical bypasses were reserved for all other lesions of the subclavian and common carotid arteries or contraindications to the direct approach. Patency for carotido-subclavian bypass (81 patients) and subclavio-subclavian bypass (134 patients) was 71% (mean follow-up: 4.6 years) with one operative death. Indications are decided on the basis of the extent and aspect of the lesions.
Courbier
R
R
Cardiovascular Surgical Department, Saint Joseph Hospital, Marseille, France.
Jausseran
J M
JM
Poyen
V
V
D000714:Anastomosis, Surgical; D001011:Aorta / Q000601:surgery; D001157:Arterial Occlusive Diseases / Q000401:mortality / Q000601:surgery; D001807:Blood Vessel Prosthesis; D016122:Brachiocephalic Trunk / Q000601:surgery*; D002339:Carotid Arteries / Q000601:surgery*; D002340:Carotid Artery Diseases / Q000601:surgery; D006801:Humans; D012086:Reoperation; D013249:Sternum / Q000601:surgery; D013348:Subclavian Artery / Q000601:surgery*; D013349:Subclavian Steal Syndrome / Q000601:surgery; D014654:Vascular Patency