Valenti Domenico, Sayed Saiqa, Mistry Hiren, Rashid Hisham, Gambhir Raghvinder, Slim Hani
Department of Vascular Surgery, King's College Hospital, London, United Kingdom.
Department of Vascular Surgery, King's College Hospital, London, United Kingdom.
J Vasc Surg. 2016 Jul;64(1):229-32. doi: 10.1016/j.jvs.2015.08.072. Epub 2015 Sep 26.
Carotid endarterectomy (CEA) remains the "gold standard" for atherosclerotic lesions involving the carotid bifurcation. Carotid bypass grafting using either polytetrafluoroethylene or long saphenous vein is a suitable alternative technique, especially in challenging endarterectomy and on-table failed CEA. We report our initial experience of using the Gore Hybrid Vascular Graft (W. L. Gore & Associates, Flagstaff, Ariz) in six patients as a rescue technique when standard CEA failed.
颈动脉内膜切除术(CEA)仍然是治疗涉及颈动脉分叉处动脉粥样硬化病变的“金标准”。使用聚四氟乙烯或大隐静脉进行颈动脉旁路移植术是一种合适的替代技术,尤其是在具有挑战性的内膜切除术和术中CEA失败的情况下。我们报告了我们最初在6例患者中使用戈尔混合血管移植物(W. L. 戈尔公司,亚利桑那州弗拉格斯塔夫)作为标准CEA失败时的挽救技术的经验。