Scopus
Saphenous vein graft for bypass of the maxillary to supraclinoid internal carotid artery: An anatomical short study
Annals of Vascular Surgery · Ocak 2001
Makale Bilgileri
DergiAnnals of Vascular Surgery
Yayın TarihiOcak 2001
Cilt / Sayfa15 · 548-552
Scopus ID2-s2.0-0034785957
Özet
The use of a saphenous vein graft for bypass of the maxillary artery (MA) to the supraclinoid internal carotid artery (ICA) in internal carotid occlusions is investigated. Five adult cadaver sides were used. Dissection required zygomatic arch osteotomy and a pterional craniotomy with extensive removal of the floor of the middle cranial fossa. The MA was found easily medial to infratemporal crest. The clinoidal segment of the ICA was exposed with the removal of the anterior clinoid process intradurally. The bypass graft was 4 to 5 cm long and was sutured end-to-end to the MA and end-to-side to the supraclinoid ICA. When high blood flow is needed in cases with ICA occlusion, such a bypass may be an alternative to superficial temporal (STA)-to-middle cerebral artery (MCA) bypass as well as to common carotid-to-MCA or-ICA bypass, which needs a long vein graft. This type of bypass will provide the opportunity to clip the ICA proximal to the origin of ophthalmic artery, which may inhibit distal embolization.
Yazarlar (4)
1
Ahmet Kagan Karabulut
2
Mehmet E. Ustün
3
Ismihan Ilknur Uysal
4
Ahmet Salbacak
Kurumlar
Selçuk Üniversitesi
Selçuklu Turkey
Metrikler
27
Atıf
4
Yazar