A case report of four patients who underwent subclavian carotid transposition surgery for supra aortic trunk (subclavian) occlusions

Introduction- Subclavian to carotid transposition -The technique of subclavian carotid transposition (SCT) for the treatment of proximal subclavian arterial occlusive disease is gaining importance as an adjuvant for Thoracic EndoVascular Aortic Repair (TEVAR).There are two approaches regarding this procedure .Here we have shared our experience with medial approach of Subclavian Carotid Transposition with four patients. Abstract - The four patients were managed with subclavian transposition for proximal subclavian occlusion. SCT were done in these patients with medial approach which was associated with lesser complications. Median follow up of these patients was six months. The luminal patency of the transposed vessels was good and the peripheral blood flow in the operated upper limb was adequate. Conclusion - The subclavian artery carotid artery transposition is a durable procedure in the management of proximal subclavian artery occlusions. Hence the medial approach is associated with lesser complications and excellent long term results with patency comparing with lateral approach. Preservation of side branches of subclavian artery is possible in most cases which is important for management of IHDs and thoracic aortic pathology.