Jacobs J R, Arden R L, Marks S C, Kline R, Berguer R
Department of Otolaryngology-Head and Neck Surgery, Wayne State University School of Medicine, Detroit, Mich.
Laryngoscope. 1994 Jun;104(6 Pt 1):689-93. doi: 10.1288/00005537-199406000-00008.
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.
作为扩大颈部清扫术一部分的颈动脉切除术的适应证、后果及价值已被讨论多年。许多早期报告聚焦于颈动脉结扎的后遗症以及预测患者对该手术耐受性的检测。重建颈动脉的努力主要局限于静脉移植。作者报告了11例使用患者股浅动脉重建颈动脉的病例。股动脉本身使用戈尔特斯（Gore-Tex）移植物进行重建。已发现将股浅动脉游离自体移植至颈动脉位置在尺寸上非常匹配，机械强度比静脉移植物更强，且能耐受细菌污染。1例随访14个月的动脉造影显示长期通畅。
