Thompson B W, Read R C, Campbell G S
J Cardiovasc Surg (Torino). 1980 Mar-Apr;21(2):125-30.
Ninety-four operations were performed on 90 individuals with occlusive disease of the subclavian or innominate arteries during the past 17 years. The left subclavian was occluded in 71, the right in 10, and the innominate in 9. Presenting symptomatology was neurological in 34, arm ischemia in 30 and combined in 26. Blood pressure was reduced by 30 mmHg on the involved side in all. An extrathoracic approach was used in 78 and a transthoracic approach in 16. Early mortality 18.7% and morbidity 18.7% was associated with the transthoracic approach. Long subcutaneous axillo-axillary and axillo-carotid are prone to thrombosis and skin erosion. Carotid-subclavian grafts used in 64 remain patent, occasionally become infected (4.7%), are associated with a low mortality and do not develop "carotid steal". When associated with vascular insufficiency of the lower extremity (44%) the brachiocephalic lesion should be corrected first.
在过去17年中，对90例患有锁骨下动脉或无名动脉闭塞性疾病的患者进行了94次手术。其中，左侧锁骨下动脉闭塞71例，右侧10例，无名动脉9例。出现神经症状的有34例，手臂缺血的有30例，两者皆有的有26例。所有患者患侧血压均降低30 mmHg。78例采用胸外入路，16例采用经胸入路。经胸入路的早期死亡率为18.7%，发病率为18.7%。长皮下腋-腋和腋-颈动脉搭桥术易发生血栓形成和皮肤糜烂。64例使用的颈动脉-锁骨下动脉移植物保持通畅，偶尔发生感染（4.7%），死亡率低，未出现“盗血综合征”。当合并下肢血管功能不全（44%）时，应首先纠正头臂病变。
