Subclavio-Subclavian Bypass Under Loca/ Anasthesia

Extra-anatomic bypasses are usually utilised in patients with critical limb ischemia and various obstacles for anato­ mic revascularization. A subclavio-subclavian bypass was performed under local anasthesia in our clinic for a right subclavian artery injury sustained during a total laryngectomy radical neck dissection operation. in this patient anato­ mic revascularization was not possible beacuse of contamination and possible neoplactic infiltration of the surgical fi­ eld. With this extra-anatomic approach, revascularization was accomplished under local anaesthesia with a very limi­ ted operative procedure.