This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Citing articles on Web of Science (12)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Robert A. Kozol, MD; Carl E. Bredenberg, MD

Arch Surg. 1981;116(11):1457-1460.

Abstract
• The cases of 62 patients with atherosclerotic occlusive disease at the origin of the aortic arch branches were reviewed. Thirty-six were initially without neurologic symptoms and in four (11%) intermittent neurologic symptoms without stroke developed during an average follow-up of 27 months. No patient had limb-threatening ischemia. Twenty-six operations were performed for neurologic symptoms or disabling limb ischemia, with one death. Five-year graft patency by life-table analysis was 81%. Preoperative or late postoperative stroke in three patients with occluded common carotid artery suggests this to be a more dangerous subgroup. We advise surgery for patients with disabling arm symptoms or with ischemic neurologic symptoms associated with multiple-vessel disease or with major lesions in the innominate-carotid circulation. We advocate selective revascularization with priority given to the innominate-carotid flow. Isolated subclavian lesions first seen as a single lesion or as the only residual lesion after reconstruction for multiple-vessel disease can be safely left unreconstructed.

(Arch Surg 1981;116:1457-1460)

Author Affiliations
From the Vascular Surgery Service, Department of Surgery, State University of New York, Syracuse.

Footnotes
Accepted for publication July 21, 1981.

Read at the 29th scientific meeting of the International Cardiovascular Society, Dallas, June 11, 1981.

Reprint requests to Department of Surgery, SUNY Upstate Medical Center, 750 E Adams St, Syracuse, NY 13210 (Dr Bredenberg).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Transthoracic Revascularization for Brachiocephalic Occlusive Disease
Schneider et al.
VASC ENDOVASCULAR SURG 1994;28:233-239.
ABSTRACT  

Large-Vessel Arterial Occlusive Disease in Symptomatic Upper Extremity
Harris et al.
Arch Surg 1984;119:1277-1282.
ABSTRACT