{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:01:31Z","timestamp":1787018491086,"version":"build-2736575974"},"reference-count":36,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[1998,4,1]],"date-time":"1998-04-01T00:00:00Z","timestamp":891388800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Angiology"],"published-print":{"date-parts":[[1998,4]]},"abstract":"<jats:p>Subclavian artery stenosis is found in up to 25% of supraaortic lesions. Bypass grafting is the procedure of choice but controversies exist concerning the optimal technique and the effect of postoperative antithrombotic therapy on long-term patency.<\/jats:p>\n                  <jats:p>The authors retrospectively analyzed 40 patients with carotid-subclavian bypasses. Stenoses were documented preoperatively by arteriography. Patency was determined by clinical, ultrasound, or arteriographic examinations. Cumulative patency rates were calcu lated by Kaplan-Meier method and analyzed by Tarone-Ware test.<\/jats:p>\n                  <jats:p>Graft materials were Dacron (32), polytetrafluoroethylene (seven) or saphenous vein (one). Indications for surgery included vertebrobasilar insufficiency (22.5%), upper extremity ischemia (22.5%), and the combination of both (55.0%). Perioperative mortality and morbidity were 2.5% and 10.0%, respectively. Patients were followed up from 0 to 134 months (mean 61 \u00b139 months). Cumulative 5-year patency rate was 83.3%. Anticoagulation with acetylsalicylic acid (ASA) led to significantly better 5-year patency rates (100%) as compared with the combination of ASA and dipyridamole (64.0%, p=0.013) or no anticoagulation (70.0%, p=0.016).<\/jats:p>\n                  <jats:p>Carotid-subclavian bypass led to excellent long-term patency rates and can provide durable relief of symptoms with minimal perioperative morbidity and mortality. Therefore, it is a worthwile procedure to correct proximal subclavian artery stenosis. Postoperative medication with ASA seems to increase long-term bypass function significantly.<\/jats:p>","DOI":"10.1177\/000331979804900406","type":"journal-article","created":{"date-parts":[[2008,7,28]],"date-time":"2008-07-28T17:57:07Z","timestamp":1217267827000},"page":"279-287","source":"Crossref","is-referenced-by-count":19,"title":["Carotid-Subclavian Bypass for Subclavian Artery Revascularization: Long-term Follow-up and Effect of Antiplatelet Therapy"],"prefix":"10.1177","volume":"49","author":[{"given":"Thorsten","family":"Wittwer","sequence":"first","affiliation":[{"name":"Surgical Center, Division of Cardiothoracic and Vascular Surgery, Hannover Medical School, Hannover, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thorsten","family":"Wahlers","sequence":"additional","affiliation":[{"name":"Surgical Center, Division of Cardiothoracic and Vascular Surgery, Hannover Medical School, Hannover, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Dresler","sequence":"additional","affiliation":[{"name":"Surgical Center, Division of Cardiothoracic and Vascular Surgery, Hannover Medical School, Hannover, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Axel","family":"Haverich","sequence":"additional","affiliation":[{"name":"Surgical Center, Division of Cardiothoracic and Vascular Surgery, Hannover Medical School, Hannover, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[1998,4,1]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM196111022651812"},{"key":"atypb2","first-page":"988","volume":"166","author":"DeBakey ME","year":"1958","journal-title":"JAMA"},{"key":"atypb3","first-page":"17","volume":"65","author":"Crawford ES","year":"1969","journal-title":"Surgery"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1971.03190060064022"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1964.01310220151023"},{"key":"atypb6","first-page":"447","volume":"136","author":"Shumacker HB","year":"1973","journal-title":"Surg Gynecol Obstet"},{"key":"atypb7","first-page":"77","volume":"9","author":"Rutherford RB","year":"1996","journal-title":"Semin Vasc Surg"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(67)90151-1"},{"key":"atypb9","first-page":"84","volume":"112","author":"Abu Rahma AF","year":"1992","journal-title":"Surgery"},{"key":"atypb10","first-page":"248","volume":"90","author":"Defraigne JO","year":"1990","journal-title":"Acta Chir Belg"},{"key":"atypb11","doi-asserted-by":"publisher","DOI":"10.1016\/0741-5214(94)90140-6"},{"key":"atypb12","doi-asserted-by":"publisher","DOI":"10.1006\/jsre.1994.1061"},{"key":"atypb13","first-page":"334","volume":"32","author":"Kretschmer G.","year":"1991","journal-title":"J Cardiovasc Surg"},{"key":"atypb14","first-page":"191","volume":"29","author":"Rosenthal D.","year":"1988","journal-title":"J Cardiovasc Surg"},{"key":"atypb15","first-page":"159","volume":"203","author":"Hass WK","year":"1968","journal-title":"JAMA"},{"key":"atypb16","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.26.9.1565"},{"key":"atypb17","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.19.4.431"},{"key":"atypb18","doi-asserted-by":"publisher","DOI":"10.1016\/S0950-821X(87)80056-7"},{"key":"atypb19","doi-asserted-by":"publisher","DOI":"10.1067\/mva.1990.24577"},{"key":"atypb20","doi-asserted-by":"publisher","DOI":"10.1016\/S0950-821X(05)80090-8"},{"key":"atypb21","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800691316"},{"key":"atypb22","first-page":"876","volume":"122","author":"Weiner RI","year":"1987","journal-title":"Treatment with axillo-axillary bypass. Arch Surg"},{"key":"atypb23","first-page":"673","volume":"219","author":"Edwards WH Jr,","year":"1994","journal-title":"A quarter century experience. Ann Surg"},{"key":"atypb24","first-page":"593","volume":"33","author":"Mingoli A.","year":"1992","journal-title":"J Cardiovasc Surg"},{"key":"atypb25","first-page":"521","volume":"66","author":"Lord Rsa","year":"1969","journal-title":"Surgery"},{"key":"atypb26","doi-asserted-by":"publisher","DOI":"10.1016\/0967-2109(96)82862-6"},{"key":"atypb27","first-page":"1565","volume":"26","author":"Law MM","year":"1995","journal-title":"Choice of conduit and long-term follow-up. Stroke"},{"key":"atypb28","doi-asserted-by":"publisher","DOI":"10.1016\/0741-5214(86)90077-7"},{"key":"atypb29","first-page":"613","volume":"116","author":"Hepp W.","year":"1991","journal-title":"Surgical treatment and long-term results. Zentralbl Chir"},{"key":"atypb30","doi-asserted-by":"publisher","DOI":"10.1016\/S1078-5884(05)80015-2"},{"key":"atypb31","doi-asserted-by":"publisher","DOI":"10.1378\/chest.102.4_Supplement.516S"},{"key":"atypb32","first-page":"272","volume":"14","author":"Bollinger A.","year":"1985","journal-title":"VASA"},{"key":"atypb33","first-page":"37","volume":"7","author":"Oblath RW","year":"1978","journal-title":"Surgery"},{"key":"atypb34","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198312000-00008"},{"key":"atypb35","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.296.6618.320"},{"key":"atypb36","doi-asserted-by":"crossref","first-page":"1591","DOI":"10.1172\/JCI111865","volume":"75","author":"Hanson SR","year":"1985","journal-title":"J Clin Invest"}],"container-title":["Angiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/000331979804900406","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/000331979804900406","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T10:14:25Z","timestamp":1777371265000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/000331979804900406"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1998,4]]},"references-count":36,"journal-issue":{"issue":"4","published-print":{"date-parts":[[1998,4]]}},"alternative-id":["10.1177\/000331979804900406"],"URL":"https:\/\/doi.org\/10.1177\/000331979804900406","relation":{},"ISSN":["0003-3197","1940-1574"],"issn-type":[{"value":"0003-3197","type":"print"},{"value":"1940-1574","type":"electronic"}],"subject":[],"published":{"date-parts":[[1998,4]]}}}