CAROTID­SUBCLAVIAN GRAFTING IN OCCLUSION OF THE FIRST PORTION OF SUBCLAVIAN ARTERY AND MULTIFOCAL ATHEROSCLEROSIS: FIVE YEAR FOLLOW­UP DATA

Abstract

Aim. Analysis of the prevalence and structure of hospital and five year postsurgical complications in patients with occlusion of the first portion of subclavian artery and multifocal atherosclerosis.Material and methods. To the study, 45 patients included, who had underwent carotid­subclavian shunting during 2008­2015y.Results. In hospital period of follow­up there were no significant adverse cardiovascular events. Among the comlications, in several cases there were vocal cords paresis, paresis of the diaphragm dome, limphorrhea. The study shows that significant cardiovascular events occurred only in long term of the disease period and were related to the following stage of revascularization.Conclusion. The obtained results underscore the significance of risk stratification and selection of the optimal strategy of revascularization in the cohort of patients, that is impossible unless an approach is personified.

Keywords

• subclavian artery first portion occlusion
• carotid­subclavian graft
• multifocal atherosclerosis
• long­term results