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Femoral-Axillary Artery Bypass for Arm Ischemia

Femoral-Axillary Artery Bypass for Arm Ischemia Abstract Arm ischemia from subclavian artery obstruction is seen infrequently and, when sufficiently symptomatic, can usually be managed by a carotid-subclavian graft. We recently encountered a patient with severe rest pain in his right arm seven years following irradiation of a right Pancoast tumor. The proximal subclavian artery was totally occluded. To avoid operating in an irradiated area, a femoral-axillary graft was performed and has completely relieved the patient's symptoms. A femoral-axillary graft appears to be a reasonable alternative for upper extremity revascularization in patients who are not candidates for more conventional procedures. References 1. Blaisdell FW, Hall AD: Axillary-femoral artery bypass for lower extremity ischemia . Surgery 54:535-568, 1963. 2. Louw JH: Splenic-to-femoral and axillary-to-femoral bypass grafts in diffuse atherosclerotic occlusive disease . Lancet 1:1401-1402, 1963.Crossref 3. Sproul G: Femoral-axillary bypass for cerebral vascular insufficiency . Arch Surg 103:746-747, 1971.Crossref 4. Garrett EH, et al: Revascularization of upper extremity with autogenous vein bypass graft . Arch Surg 91:751-757, 1965.Crossref 5. Moore WS, Hall AD, Blaisdell FW: Late results of axillary-femoral bypass grafting . Am J Surg 122:148-154, 1971.Crossref 6. Mannick JA, Williams LE, Nabseth DC: The late results of axillofemoral grafts . Surgery 68:1038-1043, 1970. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Femoral-Axillary Artery Bypass for Arm Ischemia

Moseley, H. Stephens; Porter, John M.
Archives of Surgery , Volume 106 (3) – Mar 1, 1973
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References (6)

Publisher
American Medical Association
Copyright
Copyright © 1973 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1973.01350150081023
Publisher site
See Article on Publisher Site

Abstract

Abstract Arm ischemia from subclavian artery obstruction is seen infrequently and, when sufficiently symptomatic, can usually be managed by a carotid-subclavian graft. We recently encountered a patient with severe rest pain in his right arm seven years following irradiation of a right Pancoast tumor. The proximal subclavian artery was totally occluded. To avoid operating in an irradiated area, a femoral-axillary graft was performed and has completely relieved the patient's symptoms. A femoral-axillary graft appears to be a reasonable alternative for upper extremity revascularization in patients who are not candidates for more conventional procedures. References 1. Blaisdell FW, Hall AD: Axillary-femoral artery bypass for lower extremity ischemia . Surgery 54:535-568, 1963. 2. Louw JH: Splenic-to-femoral and axillary-to-femoral bypass grafts in diffuse atherosclerotic occlusive disease . Lancet 1:1401-1402, 1963.Crossref 3. Sproul G: Femoral-axillary bypass for cerebral vascular insufficiency . Arch Surg 103:746-747, 1971.Crossref 4. Garrett EH, et al: Revascularization of upper extremity with autogenous vein bypass graft . Arch Surg 91:751-757, 1965.Crossref 5. Moore WS, Hall AD, Blaisdell FW: Late results of axillary-femoral bypass grafting . Am J Surg 122:148-154, 1971.Crossref 6. Mannick JA, Williams LE, Nabseth DC: The late results of axillofemoral grafts . Surgery 68:1038-1043, 1970.

Journal

Archives of Surgery – American Medical Association

Published: Mar 1, 1973

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