Surgical reconstruction of the proximal subclavian and vertebral arteries

William H. Edwards, Joseph L. Mulherin

    Research output: Contribution to journalArticle

    3 Citations (Scopus)

    Abstract

    The diagnosis and management of atherosclerotic lesions of the extracranial internal carotid artery has become fairly well established. Symptoms of basilar artery hypoperfusion may be due to stenotic lesions at the origin of either or both vertebral arteries or the proximal subclavian artery. Surgical correction can offer relief of symptoms. For the past decade, we have used a direct anastomosis from the vertebral or subclavian artery distal to the lesion to the adjacent common carotid artery. We have done this procedure 579 times, with one death and no neurologic deficit. A lymph fistula required closure in one patient, and reoperation was necessary in three patients because of bleeding. The results have been excellent, and we continue to offer this method of restoring arterial circulation in patients with cerebellar symptoms and vertebral

    Original languageEnglish (US)
    Pages (from-to)702-709
    Number of pages8
    JournalSouthern Medical Journal
    Volume79
    Issue number6
    DOIs
    StatePublished - Jan 1 1986

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    Subclavian Artery
    Vertebral Artery
    Basilar Artery
    Common Carotid Artery
    Internal Carotid Artery
    Lymph
    Neurologic Manifestations
    Reoperation
    Fistula
    Hemorrhage

    All Science Journal Classification (ASJC) codes

    • Medicine(all)

    Cite this

    Surgical reconstruction of the proximal subclavian and vertebral arteries. / Edwards, William H.; Mulherin, Joseph L.

    In: Southern Medical Journal, Vol. 79, No. 6, 01.01.1986, p. 702-709.

    Research output: Contribution to journalArticle

    Edwards, William H. ; Mulherin, Joseph L. / Surgical reconstruction of the proximal subclavian and vertebral arteries. In: Southern Medical Journal. 1986 ; Vol. 79, No. 6. pp. 702-709.
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