External carotid artery to middle cerebral artery bypass with the saphenous vein graft.

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

Neurosurgery

journal_title

Neurosurgery

authors

Bisson EF,Visioni AJ,Tranmer B,Horgan MA

doi

10.1227/01.neu.0000333805.74832.ac

subject

Has Abstract

pub_date

2008-06-01 00:00:00

pages

1419-24

issue

6 Suppl 3

eissn

0148-396X

issn

1524-4040

pii

00006123-200806001-00047

journal_volume

62

pub_type

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