Özcan GÜR, Selami GÜRKAN, Güven KARACA, Volkan YÜKSEL, Serhat HÜSEYİN, Suat CANBAZ, Turan EGE

SUBKLAVİYAN ÇALMA SENDROMUNA BAĞLI KAROTİKOSUBKLAVİYAN BYPASS UYGULANAN OLGULARDA UZUN DÖNEM SONUÇLARI

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

Anahtar Kelimeler:

Subklaviyan çalma sendromu, vasküler patensi, uzun dönem sonuçları

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

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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