Extra-anatomic bypass graft for management of axillary artery occlusion inpitchers

Citation
K. Ishitobi et al., Extra-anatomic bypass graft for management of axillary artery occlusion inpitchers, J VASC SURG, 33(4), 2001, pp. 797-801
Citations number
11
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Cardiovascular & Respiratory Systems","Cardiovascular & Hematology Research
Journal title
JOURNAL OF VASCULAR SURGERY
ISSN journal
0741-5214 → ACNP
Volume
33
Issue
4
Year of publication
2001
Pages
797 - 801
Database
ISI
SICI code
0741-5214(200104)33:4<797:EBGFMO>2.0.ZU;2-X
Abstract
Objective: Our goal was to evaluate the long-term results of vein bypass gr afts for axillary artery occlusion, specifically those placed extra-anatomi cally to prevent arterial injury in pitchers. Methods: With the greater saphenous veins used as the selected conduit, art erial bypass grafts were routed anterior to the pectoralis minor muscle in four baseball pitchers who had occlusion of the axillary artery. We perform ed a follow-up in excess of 10 years with evaluations of the bypass grafts by ultrasonic duplex scan and magnetic resonance angiography. Results: All four pitchers treated in this manner returned to the game and played for several seasons without a recurrence of the arterial injury. Lon g-term evaluation of the bypass grafts did not reveal any structural or fun ctional disorder. Conclusions: Axillary artery occlusion in an athlete can be effectively tre ated with a vein bypass graft placed extra-anatomically, anterior to the pe ctoralis minor muscle. The greater saphenous vein should be considered the conduit of choice.