Contralateral external carotid-middle cerebral artery bypass for carotid artery resection
| Autor: | Tatsuaki Katahashi, Jun Yuza, Yousuke Takeuchi, Toyoyuki Hanazawa, Junichi Ono, Akiyoshi Konno, Tsutomu Numata |
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| Rok vydání: | 1997 |
| Předmět: |
Adult
Male medicine.medical_specialty Carotid Artery Common Cerebral arteries Hemodynamics Anastomosis medicine.artery medicine Humans Saphenous Vein Derivation Cerebral perfusion pressure Ultrasonography Doppler Color Cerebral Cortex Cerebral Revascularization business.industry Anastomosis Surgical Cerebral Arteries Middle Aged Surgery medicine.anatomical_structure Treatment Outcome Otorhinolaryngology Cerebral cortex Head and Neck Neoplasms Cerebrovascular Circulation Middle cerebral artery Carotid Artery External Radiology Internal carotid artery business Carotid Artery Internal |
| Zdroj: | The Laryngoscope. 107(5) |
| ISSN: | 0023-852X |
| Popis: | Resection of the common carotid or internal carotid artery is occasionally unavoidable in cases of advanced head and neck carcinoma with carotid artery involvement. To prevent the consequent decrease in cerebral perfusion, we have developed a contralateral external carotid-middle cerebral artery bypass grafting technique. From 1990 through 1995, six patients with advanced head and neck cancer involving the carotid artery underwent total tumor resection combined with vascular reconstruction using the contralateral external carotid- middle cerebral artery bypass grafting. No bypass-related complications occurred in any patient postoperatively. Cerebral hemodynamics after surgery indicated that this bypass graft worked steadily over a long term and supplied sufficient volume of blood to the cerebral cortex on the opposite side in every case. |
| Databáze: | OpenAIRE |
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