c l i n i c a l f o l i o s : n a r r a t i v e





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Carotid-Subclavian Bypass: 7

A D V E R T I S E M E N T

   
 

A diagnosis of vertebrobasilar insufficiency with a probable subclavian steal (see subclavian steal syndrome and carotid-subclavian bypass) component was made and the patient was taken to the operating room for carotid subclavian bypass (see subclavian steal, bypass (video)). Stenting was considered, but because of the proximity of the stenosis to the origin of the subclavian, the patientís age, and the superior long-term patency of bypass, the latter option was chosen. The patientís position is shown.     

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Carotid-Subclavian Bypass: 8

A D V E R T I S E M E N T

   

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A transverse supraclavicular incision was made over the heads of the sternocleidomastoid and carried down through platysma (see neck anatomy.)     

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Carotid-Subclavian Bypass: 9

A D V E R T I S E M E N T

   

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The clavicular head of the sternocleidomastoid was divided and the cut end is demonstrated here.     

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This page was last modified on 9/14/2006.