These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: [Extrathoracic versus transthoracic methods of surgical correction of stenoses and occlusions of the aortic arch branches: a comparison].
    Author: Weimann S.
    Journal: Wien Klin Wochenschr; 1989 Nov 10; 101(21):740-3. PubMed ID: 2588596.
    Abstract:
    125 reconstructions performed during the years 1968 to 1988 were analysed retrospectively. 81 surgical procedures were extrathoracic (64.8%) and 44 transthoracic (35.2%). The symptoms of the aortic arch branch lesions included subclavian steal syndrome in 67 (53.6%), transient cerebral ischemia in 16 (12.8%), residua of cerebral infarction in 5 (4.0%), monocular ischemic attacks in 16 (12.8%) and ischemic arm symptoms in 27 (21.6%) patients. Surgical repair was achieved by subclavian-carotid transposition in 44 (35.2%), carotid-subclavian bypass in 23 (18.4%), carotid-subclavian transposition in 2 (1.6%), endarterectomy of the subclavian artery in 5 (4.0%), carotid-carotid bypass in 3 (2.4%), subclavian-subclavian bypass in 4 (3.2%), aorto-subclavian bypass in 9 (7.2%), endarterectomy of the left subclavian artery in 18 (14.4%) and reconstruction of the innominate artery in 17 (13.6%) patients. 124 patients had complete remission of symptoms or at least showed marked improvement postoperatively. The overall patency rate of the extra- and transthoracic procedures in 85% at an average follow-up of 115 months. The patency rate in the extrathoracic group is 82% and not significantly lower than in the transthoracic group with a patency rate of 89%.
    [Abstract] [Full Text] [Related] [New Search]