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January 1973

Subclavian Revascularization by Means of a Subcutaneous Axillary-Axillary Graft

Author Affiliations

From the Department of Surgery, University of Washington (Drs. Barnes, Sumner, and Strandness), and the Peripheral Vascular Service, Veterans Administration Hospital (Drs. Sumner and Mozersky), Seattle.

Arch Surg. 1973;106(1):20-23. doi:10.1001/archsurg.1973.01350130024005

A new operation for revascularizing the subclavian artery has been described in detail. The procedure involves creation of a subcutaneous axillary-axillary bypass. Three cases are presented in which the operation has successfully corrected the hemodynamic defect. The major disadvantages of carotid-subclavian bypass and direct endarterectomy of the subclavian or innominate arteries are obviated by axillary-axillary bypass. The procedure has a definite place in the management of patients with symptomatic occlusive lesions of the proximal subclavian and innominate arteries.