Abstract:
:Patients with occlusive cerebrovascular disease who have failed maximal medical therapy, which consists of antiplatelet agents as well as maximizing modifiable risk factors such as blood pressure, cholesterol, smoking cessation, and obesity, and whose lesions are not amenable or have not responded to the more common vascular procedures (i.e., carotid endarterectomy or stenting) are considered candidates for an extracranial-intracranial bypass. Additionally, for a patient to be a candidate, he/she must have an adequate graft vessel. Typically, this vessel is the superficial temporal artery. However, oftentimes, the superficial temporal artery is an inadequate vessel or the patient requires a high-flow conduit. It is in these patients that use of the saphenous vein should be considered. In this report, we detail the technical aspects of performing an extracranial-intracranial bypass by using a saphenous vein graft.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Bisson EF,Visioni AJ,Tranmer B,Horgan MAdoi
10.1227/01.neu.0000333805.74832.acsubject
Has Abstractpub_date
2008-06-01 00:00:00pages
1419-24issue
6 Suppl 3eissn
0148-396Xissn
1524-4040pii
00006123-200806001-00047journal_volume
62pub_type
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