SUBKLAVİYAN ÇALMA SENDROMUNA BAĞLI KAROTİKOSUBKLAVİYAN BYPASS UYGULANAN OLGULARDA UZUN DÖNEM SONUÇLARI

Year 2012, Volume: 13 Issue: 2, 11 - 13, 01.08.2012

Özcan Gür Selami Gürkan Güven Karaca Volkan Yüksel Serhat Hüseyin Suat Canbaz Turan Ege

Abstract

AMAÇ: Subklaviyan çalma sendromu tedavisinde karotiko-subklaviyan bypass cerrahisinin uzun dönem sonuçlarının sunulması amaçlandı. GEREÇ ve YÖNTEM: 1999-2011 yılları arasında kliniğimizde 5 kadın, 1 erkek toplam 6 hastaya subklaviyan çalma sendromu sebebiyle karatiko-subklaviyan bypass operasyonu uygulandı. Hastaların yasş ortalaması 60.8±2.1 olarak tespit edildi. Hastalarda klinik olarak üst ekstremitede klodikasyo, baş dönmesi ve baş ağrısı mevcuttu. Hastalarda her iki üst ekstremite arasında tansiyon farkı mevcuttu.BULGULAR: Hastalarda postopeatif dönemde komplikasyon olmadı. Ameliyat sonrası dönemde semptomlar ve her iki üst ekstremite arasındaki tansiyon farkı kayboldu. SONUÇ: Subklaviyan çalma sendromu bulunan olgularda Karotiko-subklaviyan bypass cerrahisi başarılı uzun dönem sonuçları, düşük morbidite ve mortalite oranları ile etkin bir biçimde uygulanmaktadır

Keywords

Subklaviyan çalma sendromu, vasküler patensi, uzun dönem sonuçları

The Long Outcome in Patients with Carotico-Subclavian Bypass Surgery for Subclavian Steal Syndrome

Abstract

OBJECTIVE: In our study we aimed to evaluate long term outcome of carotico-subclavian bypass surgery in patients with subclavian steal syndrome. MATERIALS and METHODS: We evaluated the patients who underwent caroticosubclavian bypass surgery between the years 1999 and 2011 in our clinic. Total number of patients was 6 (5 female and 1 male). The mean age of the patients was 60.8±2.1 (48- 78). The patients presented with claducatio of upper extremities, headache, dizziness, and differences in arterial pressure between two arms. RESULTS: There were no complications after the carotico-subclavian bypass surgery. The differences in arterial pressure between the two arms disappeared together with the symptoms after the surgery. CONCLUSION: Carotico-subclavian bypass surgery is a procedure with low mortality and morbidity rates and good long term outcomes in patients with subclavian steal syndrome.

Keywords

Subclavian steal syndrome, vascular patency, long term results

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