锁骨下动脉粥样硬化病变的外科治疗。
Surgical treatment of atherosclerotic lesions of the subclavian artery.
作者信息
Cohn L H, Fogarty T J, Daily P O, Silverman J F, Shumway N E
出版信息
Calif Med. 1972 May;116(5):8-12.
Of eight patients with atherosclerotic lesions (seven occlusive, one aneurysmal) of the subclavian artery, five were operated upon because of the subclavian steal and three for severe ischemia of the hand and fingers. Removal or bypass of these lesions was uniformly successful in relieving symptoms. In most cases transcervical carotid-subclavian saphenous vein bypass graft is the treatment of choice, provided no carotid obstruction exists or, if there is obstruction, it can be dealt with at operation.
在8例患有锁骨下动脉粥样硬化病变（7例闭塞性，1例动脉瘤样）的患者中，5例因锁骨下动脉窃血而接受手术，3例因手部和手指严重缺血而接受手术。切除或绕过这些病变均成功缓解了症状。在大多数情况下，经颈颈动脉-锁骨下隐静脉旁路移植术是首选治疗方法，前提是不存在颈动脉阻塞，或者如果存在阻塞，可以在手术中进行处理。
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