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.
Mozersky DJ, Sumner DS, Barnes RW, Strandness DE. Subclavian Revascularization by Means of a Subcutaneous Axillary-Axillary Graft. Arch Surg. 1973;106(1):20-23. doi:10.1001/archsurg.1973.01350130024005