Cormier J M, Laurian C, Franceschi C, Luizy F
Presse Med. 1985;14(28):1512-4.
Since 1973, transposition of the subclavian artery into the common carotid artery has been the technique of choice to treat prevertebral occlusive subclavian lesions. However, the haemodynamic results in the vertebral artery were far from perfect, as shown by immediate post-operative ultrasonic examinations. This has been corrected by a technical modification: the subclavian artery is severed flush with the vertebral artery lying obliquely downward and medially, which is equivalent to reimplanting a "double-barrelled" vessel (the vertebral and subclavian arteries) into the common carotid artery.
自1973年以来，将锁骨下动脉转位至颈总动脉一直是治疗椎前闭塞性锁骨下病变的首选技术。然而，术后即刻超声检查显示，椎动脉的血流动力学结果远非完美。通过一项技术改进已纠正了这一问题：将锁骨下动脉与斜向下内侧走行的椎动脉平齐切断，这相当于将一条“双筒”血管（椎动脉和锁骨下动脉）重新植入颈总动脉。
