Saphenous vein graft for bypass of the external carotid artery to supraclinoid internal carotid artery using a modified technique: An anatomical and technical study

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dc.contributor.authorUlku, CH
dc.contributor.authorUstun, ME
dc.contributor.authorBuyukmumcu, M
dc.contributor.authorCicekcibasi, AE
dc.contributor.authorUyar, Y
dc.date.accessioned2020-03-26T16:55:28Z
dc.date.available2020-03-26T16:55:28Z
dc.date.issued2004
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractObjective - To investigate the use of a saphenous vein graft for bypass of the external carotid artery (ECA) to supraclinoid internal carotid artery (ICA) when the proximal middle cerebral artery (MCA) is not suitable for a bypass procedure. Material and Methods - Five adult cadaver sides were used. Dissection required a frontotemporal craniotomy and a zygomatic arch osteotomy, with a hole being opened 2 - 3 mm lateral to the foramen rotundum extradurally. The ECA was found easily via a second incision in the cervical region. The ophthalmic segment of the ICA was exposed by removal of the anterior clinoid process intradurally. After the dura over the hole was opened, the 7 - 8-cm long bypass graft was passed just behind the mandibula and through the hole inside the dura to reach the ICA. The ECA was then transected proximal to the occipital artery (OA) branch and the distal side of the vein graft was anastomosed end-to-end with the ECA and end-to-side with the supraclinoid ICA. Results - The mean diameter of the ECA proximal to the OA was 3.75 +/- 0.4 mm ( range 3.35 - 4.15 mm) and that of the supraclinoid ICA was 3.4 +/- 0.5 mm ( range 2.9 - 3.9 mm). The mean length of the venous graft was 7.5 +/- 0.5 cm ( range 7 - 8 cm). Conclusion - When high blood flow is needed and the proximal MCA is not suitable for a bypass, the bypass described herein may be an alternative to a superficial temporal to MCA bypass as well as to extracranial carotid artery to MCA or ICA bypasses, which both need long vein grafts.en_US
dc.identifier.doi10.1080/00016480410017431en_US
dc.identifier.endpage1219en_US
dc.identifier.issn0001-6489en_US
dc.identifier.issue10en_US
dc.identifier.pmid15768821en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage1215en_US
dc.identifier.urihttps://dx.doi.org/10.1080/00016480410017431
dc.identifier.urihttps://hdl.handle.net/20.500.12395/19194
dc.identifier.volume124en_US
dc.identifier.wosWOS:000225946000020en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTAYLOR & FRANCIS ASen_US
dc.relation.ispartofACTA OTO-LARYNGOLOGICAen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectbypass procedureen_US
dc.subjectexternal carotid arteryen_US
dc.subjectinternal carotid arteryen_US
dc.subjectvein graften_US
dc.titleSaphenous vein graft for bypass of the external carotid artery to supraclinoid internal carotid artery using a modified technique: An anatomical and technical studyen_US
dc.typeArticleen_US

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