Subclavian-to-subclavian bypass facilitated by the use of an interposition vein cuff

✍ Scribed by Dr M. M. Thompson; J. D. Beard; P. R. F. Bell

• Publisher: John Wiley and Sons
• Year: 1991
• Tongue: English
• Weight: 253 KB
• Volume: 78
• Category: Article
• ISSN: 0007-1323
• DOI: 10.1002/bjs.1800780533

✦ Synopsis

Miller vein cuff

Miller type vein cuf/ .fucilitating subclavicni-to-subclavian Occlusion or severe stenosis of the first part of the subclavian artery proximal to the origin of the vertebral artery may give rise to the signs and symptoms of the subclavian steal syndrome. These encompass vertebrobasilar ischaemia in association with arm claudication, unequal or absent radial pulses and a decreased blood pressure in the affected limb'. If the symptoms are severe, a subclavian-to-subclavian bypass is one of the options available. Because of the fragility of the subclavian artery, this can be a dificult procedure, particularly if a polytetrafluoroethylene (PTFE) graft is used. To make the procedure safer and easier a Miller type vein cuff may be interposed between the graft and the artery.