Division of Neurosurgery, Department of Surgery, Faculty of Medicine, Thammasat University, Thammasat University Hospital, Pathum Thani, 12120, Thailand.
Acta Neurochir (Wien). 2024 May 28;166(1):235. doi: 10.1007/s00701-024-06144-5.
Common carotid artery occlusion (CCAO) is rare, where a revascularization procedure might be needed in symptomatic or recurrent ischemic events. In this study, we describe the carotid-carotid artery crossover bypass technique for Riles type 1 A CCAO.
The procedure was conducted via bilateral neck incisions utilizing the saphenous vein graft. The graft was patent after surgery, along with substantial improvement in cerebral perfusion, resulting in a stroke-free postoperative period.
The carotid-carotid crossover bypass is effective for CCAO patients requiring revascularization. However, individual bypass options and vascular grafts should be carefully considered.
颈总动脉闭塞（CCAO）较为罕见，在有症状或复发性缺血事件时可能需要进行血运重建。本研究描述了一种用于 Riles 1A 型 CCAO 的颈-颈动脉交叉旁路技术。
该手术通过双侧颈部切口利用隐静脉移植物进行。术后移植物通畅，脑灌注明显改善，术后无卒中发生。
对于需要血运重建的 CCAO 患者，颈-颈旁路转流术是有效的。然而，应仔细考虑个体旁路选择和血管移植物。
