The Journal of thoracic and cardiovascular surgery
Left subclavian revascularization has become an integral part of thoracic endovascular aortic repair to extend the proximal landing zone. This is most commonly achieved via carotid-subclavian bypass; however, this can be achieved via vessel transposition. All patients who had zone 2 thoracic endovascular aortic repairs without branched grafts from ...
Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists
To analyze the results of isolated left subclavian artery (LSA) revascularization during thoracic endovascular aortic repair (TEVAR) using carotid-subclavian bypass (CSbp) or chimney grafts (CGs). A retrospective multicenter, observational study identified 73 patients (mean age 68±13 years, range 22-87; 56 men) with acute or chronic thoracic aortic...
TEVAR + SUB were associated with lower rates of mortality and complications. Only a small percentage of TEVAR + SUB required a bypass at one year after procedure. Our data suggest that routine LSA bypass during TEVAR is unnecessary and associated with increase morbidity and mortality.
Hellenic Journal of Surgery
Aim-BackgroundThe indication for performing a left carotid-subclavian bypass in the case of an occluded left subclavian artery following endovascular stent placement in the descending thoracic aorta is not well established.Case reportWe describe a case report of a 72-year-old patient with a ruptured aortic isthmus and an aberrant left vertebral art...