J Korean Vasc Surg Soc.  1997 Jun;13(1):89-92.

Subclavian Artery Stenosis and Malfunction of Axillobifemoral Bypass Graft: A case report

Affiliations
  • 1Department of Vascular Surgery, Ulsan University, College of Medicine, Asan Medical Center, Korea.
  • 2Department of Radiology, Ulsan University, College of Medicine, Asan Medical Center, Korea.

Abstract

Though axillo-femoral bypass has been the preferred procedure since the introduction of the procedure by Blaisdell1) in 1963 for high risk patients who have aorto-iliac occlusive disease, widespread use of axillo-femoral bypass was limited in the past because long-term patency rates were inferior to aortofemoral bypass. Multiple mechanisms were mentioned for its inferior patency but delayed stenosis of the inflow artery(not at anastomosis site) were not reported frequently. The authors experienced one case of inflow malfunction of axillo-femoral bypass due to subclavian artery stenosis in a patient with coronary artery disease and carotid artery stenosis. Subclavian artery stenosis was treated by percutaneous transfemoral angioplasty with improvement of symptom and ABI.

Keyword

Axillobifemoral bypass graft; Subclavian artery stenosis; Malfunction

MeSH Terms

Angioplasty
Carotid Stenosis
Constriction, Pathologic
Coronary Artery Disease
Humans
Subclavian Artery*
Subclavian Steal Syndrome*
Transplants*
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