Subclavian To Internal Carotid Artery Substitution

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Abstract
An operative procedure whereby the subclavian (axillary) artery is divided distally and swung superiorly to provide carotid replacement is described. It has the advantages of one anastomosis, suturing live healthy vessel to live healthy vessel and limiting cessation of carotid flow to less than 3 minutes. No untoward effects as a result of depriving the arm of this main channel were observed. The operative time and the postoperative morbidity are not significantly greater than that required for other procedures. The indications for this operation are discussed.