Burnay J, Vermynck J P, Dubois-Pacque N, Ringot P L, Abet D, Gamain J, Pietri J
J Mal Vasc. 1983;8(3):249-52.
Patient characteristics, types of lesion, routes of approach and techniques employed are discussed in relation to 94 cases of surgical treatment for chronic obstruction of the subclavian artery. The most frequently (60% of cases) used procedure was an extrathoracic by-pass operation, thrombo-endarterectomy being performed in 25%, réimplantations in 10%, and aortic by-pass implants in 6% of cases. Immediate and 30-day follow-up results are presented, and failures critically analyzed with regard to their relation to vascular or neurological complications, and those linked to the approach route. Conclusions to be drawn from these unsuccessful cases are exposed, as well as current tendencies in respect of indications for surgery in these lesions.
针对94例锁骨下动脉慢性阻塞的手术治疗病例，讨论了患者特征、病变类型、手术入路及所采用的技术。最常用的手术方法（60%的病例）是胸外旁路手术，25%的病例行血栓内膜切除术，10%的病例行再植术，6%的病例行主动脉旁路植入术。给出了即刻及30天的随访结果，并对失败病例与血管或神经并发症以及与手术入路相关的并发症的关系进行了批判性分析。阐述了从这些失败病例中得出的结论，以及这些病变手术适应证方面的当前趋势。
