Conduits for cerebrovascular bypass and lessons learned from the cardiovascular experience.

Abstract:

:Direct cerebral revascularization is an important procedure in the treatment of certain complex aneurysms and skull base tumors when acute sacrifice of the internal carotid artery is required. It likely remains an appropriate treatment in a small subgroup of patients with cerebral ischemia refractory to maximal medical management. Similar to cardiovascular surgery, the choice of a graft conduit is critical for a successful outcome. The standard conduits are interposition vein grafts (usually the greater saphenous vein), free arterial grafts (radial artery), and pedicled arterial grafts (superficial temporal artery). The goal of this review is to summarize the conduits commonly used in cerebral revascularization with emphasis on their patency rates and flow characteristics. Comparisons are made with similar data available in the cardiovascular literature.

journal_name

Neurosurg Focus

journal_title

Neurosurgical focus

authors

Liu JK,Kan P,Karwande SV,Couldwell WT

subject

Has Abstract

pub_date

2003-03-15 00:00:00

pages

e3

issue

3

issn

1092-0684

pii

140303

journal_volume

14

pub_type

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