Polytetrafluoroethylene interposition grafts in vertebral tocarotid artery transposition
| Autor: | Lee V. Ansell, Jim L. Story, David A. Cavanaugh, Holger E. I. Skerhut, Willis E. Brown |
|---|---|
| Rok vydání: | 1989 |
| Předmět: |
medicine.medical_specialty
Time Factors Vertebral artery Anastomosis Brain Ischemia Blood vessel prosthesis medicine.artery medicine Humans Myocardial infarction Common carotid artery Polytetrafluoroethylene Aged medicine.diagnostic_test business.industry Middle Aged medicine.disease Blood Vessel Prosthesis Cerebral Angiography Surgery Stenosis Carotid Arteries Radiology business Cerebrovascular surgery Follow-Up Studies Cerebral angiography |
| Zdroj: | Journal of Neurosurgery. 70:212-215 |
| ISSN: | 0022-3085 |
| DOI: | 10.3171/jns.1989.70.2.0212 |
| Popis: | ✓ Eight patients undergoing an end-to-side vertebral artery (VA) to common carotid artery transposition between August, 1979, and July, 1982, had a polytetrafluoroethylene (PTFE) interposition graft placed when a direct anastomosis was believed not to be satisfactory. Five of these patients are living; clinical and radiographic follow-up studies over periods ranging between 54 and 82 months show that their transpositions are patent. Two patients died perioperatively, one from an acute anterior myocardial infarction and the other from acute VA occlusion with a propagating thrombus. A third patient died of myocardial infarction 20 months after graft placement; the anastomosis had been found patent at 12 months. This report gives the clinical and radiographic follow-up results in a previously reported group of patients with PTFE interposition grafts. Some of these patients have been followed for over 6 years after surgery: the average radiographic follow-up period in the five survivors is 60 months, and all grafts are patent without evidence of progressive stenosis. Expanded PTFE appears to be an acceptable material for short interposition grafts in operations involving the VA; however, direct artery-to-artery anastomosis is preferred. The results of longer PTFE grafts in reconstructive cerebrovascular surgery have not been adequately studied. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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