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Carotid artery reconstruction using superficial femoral arterial grafts
Author(s) -
Jacobs John R.,
Arden Richard L.,
Marks Steven C.,
Kline Ronald,
Berguer Ramon
Publication year - 1994
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-199406000-00008
Subject(s) - medicine , femoral artery , ligation , carotid arteries , artery , surgery , dissection (medical) , radiology , deep femoral artery , femoral vein , vein
The indications, consequences, and value of resection of the carotid artery as part of an extended neck dissection has been discussed for many years. Many of the earlier reports have focused on the sequelae of carotid artery ligation and tests to predict patient tolerance for the procedure. Efforts to reconstruct the carotid artery have been limited primarily to vein grafts. The authors report on 11 cases of reconstruction of the carotid artery using the patient's superficial femoral artery. The femoral artery itself is reconstructed using a Gore‐Tex® graft. Free autografts of the superficial femoral artery in the carotid location have been found to be an excellent size match, mechanically stronger than a vein graft, and tolerant of bacterial contamination. Arteriography in 1 case with 14 months' follow‐up demonstrates long‐term patency.