Proximal subclavian artery stenosis may cause severe disturbances of cere bral blood supply well known as subclavian steal syndrome.
On the other hand subclavian artery stenosis may produce problems of the perfusion of the arm. But in the presence of a well established collateral circula tion with reversal flow in the ipsilateral vertebral artery the reduced perfusion of the arm in the presence of proximal subclavian artery stenosis seldom re quires operative treatment.
Get full access to this article
View all access options for this article.
References
1.
Buchwalsky RR , Genswein V., Schlosser und G: Blümchen: Subclavian steel syndrome: Postoperativer und spontaner Verlauf bei 27 Patienten über 3 Jahre . Thoraxchirurg Vasculare Chirurgie25: 288, 1977.
2.
Dietrich E., Gerret ME, Amerisco J., et al: Occlusive disease of the commo carotid and subclavian arteries treated by carotid-subclavian bypass. Ann J Surg114: 800, 1976.
3.
Fields WS and Lemat NA: Joint study of extra cranial arterial occlusion. VII subclavian steal. A review of 168 cases. Jama222: 1139, 1977 .
4.
Hamann H., Vollmar J. and Geissler K.: Reconstructive surgery of the supraaortic main truncs. Extraanatomic (thoracic) versus transthoracic procedures. Cardiovascular Surgery, 1980. SpringerBerlin1981 .
5.
Heberer G., Rau G. and Lohr HW: Aorta und groβe Arterien. Springer Berlin1967.
6.
Raithel D.: Analysis and follow up of 186 alternative bypass. 1981.Cardiovascular Surgery 1980. SpringerBerlin1981.
