Bush Ruth L, Lin Peter H, Najibi Sasan, Dion Jacques E, Smith Robert B
Joseph B. Whitehead Division of Vascular Surgery, Department of Surgery, University Hospital, Emory University School of Medicine, 1364 Clifton Road, Atlanta, GA 30322, USA.
J Endovasc Ther. 2002 Jun;9(3):308-12. doi: 10.1177/152660280200900309.
To report 2 cases of proximal subclavian artery aneurysm treated with carotid-subclavian bypass and coil embolization.
A subclavian artery aneurysm was discovered incidentally during presurgical coronary angiography in 2 men (72 and 63 years of age). Both patients underwent planned carotid endarterectomy, during which a carotid-subclavian bypass was created with a Dacron graft; the distal subclavian artery was also ligated. The aneurysm was completely excluded from the circulation by coil embolization in a separate procedure. The patients were discharged after 3 days with no adverse events. Magnetic resonance angiography at 6 months showed continued aneurysm exclusion in both cases. The patients continue to be well >1 year after treatment.
Embolization with supraclavicular bypass represents a viable alternative to traditional thoracotomy and subclavian artery reconstruction for treatment of subclavian artery aneurysms.
