Proximal subclavian ulcerative athero matous lesion can present as vertebrobasillar TIA from atherothromboembolic phenom ena. Because it lacks hemodynamic signifi cance, prosthetic graft bypass may undergo thrombosis. Endarterectomy and trans position of the subclavian artery, which has had good results, is the procedure of choice in such cases.
Get full access to this article
View all access options for this article.
References
1.
DeBakey, M.E. , Crawford, E.S., Cooley, D.A., et al.: Surgical considerations of occlusive disease of innominate, carotid, subclavian, and vertebral arteries. Ann. Surg., 149: 690, 1959.
2.
Crawford, E.S. , DeBakey, M.E., Morris, G.C., et al.: Surgical treatment of the occlusion of the innominate, common carotid, and subclavian arteries: A 10 year experience . Surgery, 65: 17, 1969.
Rob, C.: Subclavian occlusive disease and reversal of flow in the ipsilateral vertebral artery. In Treatment in Cerebral Vascular Diseases. Fourth Conference. New York, Grune & Stratton, 1965, p. 122.
