Harris R W, Andros G, Dulawa L B, Oblath R W, Salles-Cunha S X, Apyan R
Arch Surg. 1984 Nov;119(11):1277-82. doi: 10.1001/archsurg.1984.01390230047011.
Subclavian and axillary artery occlusive disease resulted in sufficient upper extremity symptoms to necessitate 30 vascular reconstructions in 28 patients over the past ten years. Female patients predominated, with a ratio of 2.5:1. The average age of the patients was 61 years. The incidence of diabetes mellitus was low (7%). Sixteen of 18 proximal subclavian lesions were on the left side, while more distal lesions were equally distributed on the left and right. Extrathoracic bypasses were used in all cases. Dacron grafts were used in 16 of 17 carotid-subclavian bypasses. Autogenous vein grafts were used in 11 of 13 bypasses to the axillary or brachial artery. Concomitant cervicodorsal sympathectomy was done in only four patients. The in-hospital graft patency rate was 93% and the long-term graft patency rate at one year and beyond was 88%.
在过去十年中，锁骨下动脉和腋动脉闭塞性疾病导致28例患者出现严重的上肢症状，因此进行了30次血管重建手术。女性患者居多，男女比例为2.5:1。患者的平均年龄为61岁。糖尿病发病率较低（7%）。18例近端锁骨下病变中有16例位于左侧，而更远端的病变在左右两侧分布均匀。所有病例均采用胸外旁路手术。17例颈动脉-锁骨下动脉旁路手术中有16例使用了涤纶移植物。13例腋动脉或肱动脉旁路手术中有11例使用了自体静脉移植物。仅4例患者同时进行了颈胸交感神经切除术。院内移植物通畅率为93%，一年及以后的长期移植物通畅率为88%。
