Carotid artery reconstruction using superficial femoral arterial grafts

The indications, consequences, and value of resection of the carotid artery as part of an extended neck dissection has been discussed for many years. Many of the earlier reports have focused on the sequelae of carotid artery ligation and tests to predict patient tolerance for the procedure. Efforts...

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Veröffentlicht in:The Laryngoscope 1994-06, Vol.104 (6), p.689-693
Hauptverfasser: Jacobs, John R., Arden, Richard L., Marks, Steven C., Kline, Ronald, Berguer, Ramon
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container_issue 6
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container_title The Laryngoscope
container_volume 104
creator Jacobs, John R.
Arden, Richard L.
Marks, Steven C.
Kline, Ronald
Berguer, Ramon
description The indications, consequences, and value of resection of the carotid artery as part of an extended neck dissection has been discussed for many years. Many of the earlier reports have focused on the sequelae of carotid artery ligation and tests to predict patient tolerance for the procedure. Efforts to reconstruct the carotid artery have been limited primarily to vein grafts. The authors report on 11 cases of reconstruction of the carotid artery using the patient's superficial femoral artery. The femoral artery itself is reconstructed using a Gore‐Tex® graft. Free autografts of the superficial femoral artery in the carotid location have been found to be an excellent size match, mechanically stronger than a vein graft, and tolerant of bacterial contamination. Arteriography in 1 case with 14 months' follow‐up demonstrates long‐term patency.
doi_str_mv 10.1288/00005537-199406000-00008
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ispartof The Laryngoscope, 1994-06, Vol.104 (6), p.689-693
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source MEDLINE; Journals@Ovid Complete
subjects Blood Vessel Prosthesis
Carcinoma, Squamous Cell - surgery
Carotid Arteries - surgery
Femoral Artery - transplantation
Head and Neck Neoplasms - surgery
Humans
Male
Transplantation, Autologous
title Carotid artery reconstruction using superficial femoral arterial grafts
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