Öz
Ankara Üniversitesi Tıp Fakültesi İbn-i Sina Hastanesi Kalp ve Damar Cerrahisi Anabilim Dalında 21.1.1985 - 30.6.1991 tarihleri arasında 11 olguda subclavian steal sendromu nedeni ile cerrahi tedavi uygulanmıştır. Subclavian steal sendromu oluşturan lezyonlar 9 olguda sol subclavian arterde, 2 olguda sağ subclavian arterde idi. 7 olguda komplet oklüzyon 4 olguda ise stenoz oluşmuştu. En yaygın semptom senkop idi. Olgularda operasyon indikasyonu, zamanlama ve şeklinin belirlenmesi için arcus aortografi yapılmıştır, Son 8 olguda supraklavikular yaklaşımla ekstratorasik comman carotid-subeclavian bypass uyguladı, İlk üç olguda ise intratorasik aorta-subclavian bypass yapılmıştır. Operatif mortalite olmadı, Hiç bir olguda geçici veya kaıcı nörolojik komplikasyon oluşmadı. Postoperatif dönemde tüm olguların asemptomatik olduğu belirlendi. Doppler velocimetre ve renkli dopper teknikleri ile yapılan kontrollerde tüm olgularda graftlerin açık olduğu görüldü. Carotid subclavian bypass uygulanması subclavian steal sendromunda uygulaian basit ve mükemmel sonuçlar veren bir yöntemdir.
Anahtar Kelimeler
Subeclavian steal Carotid- subclavian bypass Kalp ve Damar Cerrahisi
Etik Beyan
-
Destekleyen Kurum
-
Proje Numarası
-
Teşekkür
-
Kaynakça
- 1. Barner HB Rittenhouse EA Willman VL: Carotid subclavian bypass for «Subclal viarı steal syndrome», J Thorac Cardiovasç Surg 55 ; 773, 1968.
- 2. Bergan JJ Dean RH YaoJ5:; Use of the axillary ertery in complex cerebral vascularization. Surgery 77 - 338, 1975.
- 3. Borguer R: Vertebral - basiller insufficieney : Indications, tecnigues and results ol surgical repair, In Rutherford RE, ted.), Vascular Surgery, Vol. II, Philadelphia, WEB Saunders, pp 1392-1405, 1989,
- 4. Crawford ES DeBakey ME Merris GC Howell JF : Surgical treatment of the occlusion of the innominate, common carotid and subclavian arteries : A ten year experience, Surgery, 65:17, 1969.
- 5. Dardik H DardikI. Ağxillo-axillary bypass with cephalic vein for correction of subelavian steal syndrome, Surgery 76 : 143, 1976,
- 6. Dietrich EB Garret HE : Occlusive disease of the common carotid and subçclavian arteries treated by carotid subclavian bypass. Analysis of 125 cases. Am J Surg 114:800, 1987.
- 7. Dumanian AV Frahm CJ Pascale LR Toplinsky LL Santehi DR : The surgical treatment of the subclavian steal syndrome, J Thorac Cardiovasc Surg, 50 : 22, 1985.
- 8. Edwards WH Mulherin JL Jr: Vertebrobasiller insufficieney : Reconstruction of the proximal subclavian and vertebral arteries. In Wilson SE, Veith FJ, Hobson AW, William BA (ed). Vascular surgery New York, Me Graw Hill pp 557-561, 1987.
- 9. Edwards WH Mulherin JL Jr : The surgical approach to significani stenosis of vertebral and subdlavian arteries, Surgery, 87 : 20, 1980.
- 10. Eklof B Sehwartz SI : Effects ol subclavian steal and compromised cephalic blood flow on cerebral circulation. Surgery 68 : 431, 1969.
- 11. Finkelstein NM Byer A Rush BR : Subelavian-subclavian bypass for the subclavian steal syndrome. Surgery 71: 142, 1972.
- 12. Hafner CD : Subclavian steal syndrome a 12 year experience, Arch surg 111: 1074, 1976.
- 13. Heimovichi H : Extrathoracic exposure for distal revascularization ol brachiocephalic branches. In Heimovichi H (ed.) : Vasvular Surgery 3rd ed. pp 221-228, 1989,
- 14. Jacobson JH Mozersky DJ ; Axillary-axiller bypass for «subelavian steal» syndrome, Arch Surg, 106 : 24, 1973.
- 15. Lord RSA Ehrenfeld WK : Carotid subclavian bypass. A haemodynamic study. Surgery 66 : 1521, 1969.
- 16. Moore WS : Indicatons and surgical tecnigue fon repair of extracranial occlusive lesions. İn Rutherford RB (ed.) Vascular Surgery Vol II, Philadelphia, WB Saunders; pp 1373-1392, 1989.
- 17. Moore WS : Fundamental consideration in cerebrovascular disease. In Rutherford RP (ed) Vasoular Surgery Vol H. Philadelphia, WB Saunders, pp : 1291-1309, 1939.
- 18. Stanley NC : Clinical manifestations and evaluation of palienis with ischemic cerebrovasçular disease. In Rutherford AB (ed) Vascular Surgery VollI. Philadelphia, WB Saunders, pp 1309-1314, 1989,
Öz
Between January 21, 1985 and June 30, 1991 at Ankara University Ibn-i Sina Hospital Cardiovasculer Surgery Department, eleven patients who had subelavian steal syndrom underwent operative treatment, Arteriosclerotic lesions were located at left proximal subclavian artery in nine and at right in two. Syncope was the most encountered symptom. The type and timing of the surgery was confirmed by arcus aortagraphy. The last 8 patients underwent extrathoracic common carotid subclavian bypass with prosthetic condiut. The first 3 patient were treated by intrathoracic aorta subclavian bypasses. There was no operative mortality. All patients were symptomatic. Doppler velocimeter and coloured doppler tecnigues yielded patent bypass grafts, Extrathoracic carotid subclavian bypasses are simple and effective in
subclavian steal syndromes.
Anahtar Kelimeler
Sublavian steal carotid Subclavian bypass. Cardiovasculer Surgery
Etik Beyan
-
Destekleyen Kurum
-
Proje Numarası
-
Teşekkür
-
Kaynakça
- 1. Barner HB Rittenhouse EA Willman VL: Carotid subclavian bypass for «Subclal viarı steal syndrome», J Thorac Cardiovasç Surg 55 ; 773, 1968.
- 2. Bergan JJ Dean RH YaoJ5:; Use of the axillary ertery in complex cerebral vascularization. Surgery 77 - 338, 1975.
- 3. Borguer R: Vertebral - basiller insufficieney : Indications, tecnigues and results ol surgical repair, In Rutherford RE, ted.), Vascular Surgery, Vol. II, Philadelphia, WEB Saunders, pp 1392-1405, 1989,
- 4. Crawford ES DeBakey ME Merris GC Howell JF : Surgical treatment of the occlusion of the innominate, common carotid and subclavian arteries : A ten year experience, Surgery, 65:17, 1969.
- 5. Dardik H DardikI. Ağxillo-axillary bypass with cephalic vein for correction of subelavian steal syndrome, Surgery 76 : 143, 1976,
- 6. Dietrich EB Garret HE : Occlusive disease of the common carotid and subçclavian arteries treated by carotid subclavian bypass. Analysis of 125 cases. Am J Surg 114:800, 1987.
- 7. Dumanian AV Frahm CJ Pascale LR Toplinsky LL Santehi DR : The surgical treatment of the subclavian steal syndrome, J Thorac Cardiovasc Surg, 50 : 22, 1985.
- 8. Edwards WH Mulherin JL Jr: Vertebrobasiller insufficieney : Reconstruction of the proximal subclavian and vertebral arteries. In Wilson SE, Veith FJ, Hobson AW, William BA (ed). Vascular surgery New York, Me Graw Hill pp 557-561, 1987.
- 9. Edwards WH Mulherin JL Jr : The surgical approach to significani stenosis of vertebral and subdlavian arteries, Surgery, 87 : 20, 1980.
- 10. Eklof B Sehwartz SI : Effects ol subclavian steal and compromised cephalic blood flow on cerebral circulation. Surgery 68 : 431, 1969.
- 11. Finkelstein NM Byer A Rush BR : Subelavian-subclavian bypass for the subclavian steal syndrome. Surgery 71: 142, 1972.
- 12. Hafner CD : Subclavian steal syndrome a 12 year experience, Arch surg 111: 1074, 1976.
- 13. Heimovichi H : Extrathoracic exposure for distal revascularization ol brachiocephalic branches. In Heimovichi H (ed.) : Vasvular Surgery 3rd ed. pp 221-228, 1989,
- 14. Jacobson JH Mozersky DJ ; Axillary-axiller bypass for «subelavian steal» syndrome, Arch Surg, 106 : 24, 1973.
- 15. Lord RSA Ehrenfeld WK : Carotid subclavian bypass. A haemodynamic study. Surgery 66 : 1521, 1969.
- 16. Moore WS : Indicatons and surgical tecnigue fon repair of extracranial occlusive lesions. İn Rutherford RB (ed.) Vascular Surgery Vol II, Philadelphia, WB Saunders; pp 1373-1392, 1989.
- 17. Moore WS : Fundamental consideration in cerebrovascular disease. In Rutherford RP (ed) Vasoular Surgery Vol H. Philadelphia, WB Saunders, pp : 1291-1309, 1939.
- 18. Stanley NC : Clinical manifestations and evaluation of palienis with ischemic cerebrovasçular disease. In Rutherford AB (ed) Vascular Surgery VollI. Philadelphia, WB Saunders, pp 1309-1314, 1989,
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Kardiyoloji |
| Bölüm | Makaleler |
| Yazarlar | |
| Proje Numarası | - |
| Yayımlanma Tarihi | 31 Mart 1993 |
| Yayımlandığı Sayı | Yıl 1993 Cilt: 46 Sayı: 1 |
