title: [Indication and operative technique in chronic occlusions of the innominate artery and proximal subclavian artery (author's transl)].
abstract: Surgery is indicated in clinical stage II and cases of subclavian steal syndrome. Endarterectomy by mid-sternotomy is the operation of choice for obliteration of the innominate artery. The lethality rate is 6%. Occlusion of the left proximal subclavian artery can be treated by transthoracic endarterectomy or extrathoracic bypass procedure. The bypass procedure is preferred because of low operative lethality rate (0.8% versus 7% in transthoracic procedure). Occlusions of the right proximal subclavian artery are treated by supraclavicular endarterectomy.
mesh_terms: D000328:Adult; D001157:Arterial Occlusive Diseases / Q000601:surgery*; D016122:Brachiocephalic Trunk / Q000601:surgery*; D004691:Endarterectomy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013348:Subclavian Artery / Q000601:surgery*; D013349:Subclavian Steal Syndrome / Q000601:surgery*
vernacular_title: Indikationsstellung und operationstechnisches Vorgehen bei chronischen Verschlüssen des Truncus brachiocephalicus und der A. subclavia im Abschnitt I.