Complex Cerebral Revascularization

George J. Collins*, Norman M. Rich, Charles A. Andersen, Paul T. Mcdonald

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Although carotid endarterectomy is the usual technique for treating symptoms related to extracranial arterial occlusive disease, cerebrovascular and upper extremity symptoms caused by lesions of the innominate, common carotid, or subclavian orifices necessitate more complex revascularization techniques. We have treated five patients, three females and two males, with symptoms of cerebrovascular and/or upper extremity ischemia by highly individualized, complex, revascularization techniques. The procedures were amalgamations of carotid-subclavian bypass, carotid-subclavian bypass with carotid bifurcation endarterectomy, subclavian-subclavian bypass, axillo-axillary bypass, and carotid-axillary bypass. The conditions of all patients were greatly improved and four of the five patients became asymptomatic. These procedures seem to be highly effective in relieving symptoms and they minimize the risks of cerebral and upper extremity revascularization.

Original languageEnglish
Pages (from-to)706-709
Number of pages4
JournalArchives of Surgery
Issue number6
StatePublished - Jun 1978
Externally publishedYes


Dive into the research topics of 'Complex Cerebral Revascularization'. Together they form a unique fingerprint.

Cite this