Atlas of Vascular Surgery and Endovascular Therapy

Endovascular Therapy for Subclavian-Axillary Vein Thrombosis

Historical Background Subclavian-axillary vein thrombosis, also referred to as Paget-Schroetter syndrome or “effort thrombosis,” refers to primary thrombosis of the subclavian vein at the costoclavicular junction. Primary subclavian-axillary vein thrombosis is relatively rare, with a yearly incidence in the United…

Transaxillary Rib Resection for Thoracic Outlet Syndrome

Historical Background The first anatomic descriptions of the thoracic outlet can be traced to 150 ad when Galen identified the presence of a cervical rib in human dissections. However, it was not until 1742 that Hunauld established the association between…

Surgical Treatment of the Subclavian and Axillary Artery

Historical Background Although arterial compression represents the least common type of thoracic outlet syndrome, developmental anomalies of the thoracic outlet were probably first recognized in patients with arterial complications. As early as the second century Galen and Vesalius described arterial…

Extraanatomic Repair of Aortic Arch Vessels

Historical Background Savory was the first to describe a patient with signs and symptoms suggesting occlusive disease involving the aortic arch vessels. Nearly 20 years later, in 1875, Broadbent chronicled a patient who while living had no radial pulses and…

Direct Surgical Repair of Aortic Arch Vessels

Historical Background Surgical approaches to the aortic arch vessels had been described in the late nineteenth and early twentieth centuries. In 1958 DeBakey and associates described the first successful surgical reconstruction of an occluded symptomatic innominate artery using an nylon…

Surgical Treatment of the Vertebral Artery

Historical Background Reconstruction of the subclavian arteries via thromboendarterectomy was first described by Cate and Scott in 1957 and a year later, Crawford, DeBakey, and Fields described the technique of transsubclavian endarterectomy of the vertebral artery. In 1964 Parrott introduced…

Carotid Body Tumor

Historical Background Reigner performed the first carotid body tumor (CBT) resection in 1880, though the patient did not survive. In 1889 Albert became the first to excise a CBT without cranial nerve or carotid artery injury, and Scudder was the…