Giant petrous carotid aneurysm treated by submandibular carotid—saphenous vein bypass

2001 ◽  
Vol 94 (5) ◽  
pp. 806-810 ◽  
Author(s):  
William T. Couldwell ◽  
Joseph Zuback ◽  
Eugenia Onios ◽  
Brij Singh Ahluwalia ◽  
Michael Tenner ◽  
...  
Keyword(s):  
Saphenous Vein ◽  
Saphenous Vein Graft ◽  
Bypass Graft ◽  
Rapid Onset ◽  
Unique Case ◽  
Temporal Muscle ◽  
Content Type ◽  
Saphenous Vein Bypass ◽  
Vein Bypass

✓ Petrous and cavernous sinus carotid artery (CA) aneurysms that are not amenable to clip ligation or endovascular therapy may be successfully treated by a saphenous vein bypass, thereby preserving the patency of the CA. The authors report the unique case of a 47-year-old man with a giant fusiform aneurysm of the petrous CA, who presented with a rapid onset of a lateral rectus palsy and diplopia. The lesion was treated by trapping the aneurysm and performing a saphenous vein bypass from the cervical to the intracranial CA. The saphenous vein graft was routed beneath the condyle of the mandible to reduce the overall length of the graft, thereby increasing the likelihood of long-term patency and offering protection to the graft by the mandible, temporal muscle zygomatic process, and masseter and temporal muscles. The presentation and technical aspects of the bypass graft in this unique case are discussed.

Republished: Thrombectomy for late occlusion of high flow extracranial–intracranial saphenous vein bypass graft after 27 years of patency

2018 ◽  
Vol 10 (11) ◽  
pp. e27-e27
Author(s):  
Michael A Silva ◽  
Rodolfo E Alcedo Guardia ◽  
Mohammad Ali Aziz-Sultan ◽  
Nirav J Patel
Keyword(s):  
Saphenous Vein ◽  
Saphenous Vein Graft ◽  
Bypass Graft ◽  
External Carotid Artery ◽  
High Flow ◽  
Posterior Circulation ◽  
External Carotid ◽  
Vein Bypass ◽  
Basilar Occlusion

High flow extracranial–intracranial (EC-IC) bypass with a saphenous vein graft (SVG) has been used for more than 40 years in patients with giant aneurysms of the posterior circulation refractory to medical management, and has demonstrated high long term patency rates. We report the case of a patient treated with external carotid artery (ECA)–posterior cerebral artery SVG bypass in 1989 who presented 27 years later with paresthesias and confusion, and was found to have partial occlusion of her SVG bypass graft and a basilar occlusion. She was treated with mechanical thrombectomy of the basilar occlusion via the partially thrombosed graft, the first report of such a procedure through a high flow posterior circulation EC-IC SVG, resulting in improvement of the patient’s neurologic examination. At 27 years, this is the longest reported delay in thrombosis of a high flow SVG bypass graft, highlighting the long term patency of these grafts and the feasibility of thrombectomy through occluded bypass grafts.

Reconstruction of the vein of Labbé by using a short saphenous vein bypass graft

1998 ◽  
Vol 89 (4) ◽  
pp. 671-675 ◽  
Author(s):  
Akio Morita ◽  
Laligam N. Sekhar
Keyword(s):  
Saphenous Vein ◽  
Bypass Graft ◽  
Content Type ◽  
Venous Circulation ◽  
Saphenous Vein Bypass ◽  
Vein Bypass ◽  
Vein Of Labbé ◽  
Short Saphenous Vein ◽  
Vein Bypass Graft ◽  
Saphenous Vein Bypass Graft

✓ Protection of the vein of Labbé is a significant concern during surgery that involves retraction of the temporal lobe. A cranial base surgical approach, especially one via the presigmoid—petrosal route, carries considerable risk to this venous complex. A case is presented in which a large dominant vein of Labbé was injured during resection of a petroclival meningioma. This vein drained all the sylvian venous circulation as well as the lateral temporal surface; no connection to another venous system was noted. The vein was successfully reconstructed using a short saphenous vein bypass graft. Significant complications could have occurred without this reconstruction. The technique and benefits of this type of reconstruction are discussed.

Saphenous vein graft to the distal vertebral artery between C-1 and C-2 using a lateral-anterior approach

1992 ◽  
Vol 77 (5) ◽  
pp. 812-815 ◽  
Author(s):  
Susumu Miyamoto ◽  
Haruhiko Kikuchi ◽  
Izumi Nagata ◽  
Yoshinori Akiyama ◽  
Kenjiro Itoh ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Saphenous Vein ◽  
Saphenous Vein Graft ◽  
Bypass Graft ◽  
Content Type ◽  
Vein Bypass ◽  
Extracranial Vertebral Artery ◽  
Vertebral Artery Reconstruction ◽  
Artery Reconstruction ◽  
Saphenous Vein Bypass Graft

✓ The authors present a modified surgical procedure for extracranial vertebral artery reconstruction. The use of the proposed technique results in access to the V3 segment of the vertebral artery between the C-1 and C-2 vertebrae through the retrojugular space without requiring bone rongeuring. A saphenous vein bypass graft was placed between the common carotid artery and the V3 segment of the vertebral artery in three patients with bilateral occlusive lesions of the proximal vertebral arteries.

The Long-Term Follow-Up of Patients Undergoing Saphenous Vein Bypass Surgery

Circulation ◽  
1974 ◽  
Vol 49 (1) ◽  
pp. 77-85 ◽  
Author(s):  
DAVID S. CANNOM ◽  
D. CRAIG MILLER ◽  
NORMAN E. SHUMWAY ◽  
THOMAS J. FOGARTY ◽  
PAT O. DAILY ◽  
...  
Keyword(s):  
Saphenous Vein ◽  
Bypass Surgery ◽  
Saphenous Vein Bypass ◽  
Long Term Follow Up ◽  
Vein Bypass

scholarly journals Coronary aspirate TNFα reflects saphenous vein bypass graft restenosis risk in diabetic patients

2013 ◽  
Vol 12 (1) ◽  
pp. 12 ◽  
Author(s):  
Theodor Baars ◽  
Thomas Konorza ◽  
Philipp Kahlert ◽  
Stefan Möhlenkamp ◽  
Raimund Erbel ◽  
...  
Keyword(s):  
Saphenous Vein ◽  
Bypass Graft ◽  
Diabetic Patients ◽  
Saphenous Vein Bypass ◽  
Vein Bypass ◽  
Vein Bypass Graft ◽  
Saphenous Vein Bypass Graft
Sign in / Sign up

Export Citation Format

Share Document