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December 1976

The Axillo-axillary Bypass GraftFurther Experience

Author Affiliations

From the Department of Surgery, Georgia Baptist Hospital (Drs Lamis, Stanton, and Hyland), and the Atlanta Blood Flow Lab (Drs Lamis and Stanton), Atlanta.

Arch Surg. 1976;111(12):1353-1356. doi:10.1001/archsurg.1976.01360300043006

• The recent utilization of the axillo-axillary bypass graft for revascularization of proximal subclavian or innominate artery occlusions has proved to be a successful operation, technically simple with a low operative morbidity. We have reviewed the reported experience to date and have added our experience of nine additional cases. The procedure has produced excellent results in all patients, with no evidence of postoperative "steal" from the donor limb. Preoperative hemodynamic defects were corrected. Our experience has led us to the conclusion that this simpler and safer extrathoracic approach should be considered as the procedure of choice when arterial lesions allow for its selection and use.

(Arch Surg 111:1353-1356, 1976)