Morasch Mark D
Division of Vascular Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
J Vasc Surg. 2009 Jan;49(1):251-4. doi: 10.1016/j.jvs.2008.10.035.
When performed properly, a transposition is the most efficient and most durable procedure for reconstructing the subclavian artery for proximal occlusive disease or to extend the landing zone in the aortic arch prior to endovascular therapy for thoracic aortic pathology. The proximal subclavian artery, on the right or on the left, is approached quite differently than it is for a bypass procedure. The technique is described in detail here. There are very few contraindications to transposition, the advantages over the alternate options are many, and it can be the approach of choice in the vast majority of patients.
操作得当的情况下，对于近端闭塞性疾病重建锁骨下动脉或在胸主动脉病变的血管内治疗前扩展主动脉弓的着陆区，转位术是最有效且最持久的手术方法。右侧或左侧的近端锁骨下动脉的处理方式与旁路手术有很大不同。此处将详细描述该技术。转位术的禁忌证极少，相对于其他替代方案有诸多优势，在绝大多数患者中它可以成为首选方法。
