Conduits for cerebrovascular bypass and lessons learned from the cardiovascular experience.

James K. Liu, Peter Kan, S. V. Karwande, William T. Couldwell

Research output: Contribution to journalReview article

31 Scopus citations

Abstract

Direct cerebral revascularization is an important procedure in the treatment of certain complex aneurysms and skull base tumors when acute sacrifice of the internal carotid artery is required. It likely remains an appropriate treatment in a small subgroup of patients with cerebral ischemia refractory to maximal medical management. Similar to cardiovascular surgery, the choice of a graft conduit is critical for a successful outcome. The standard conduits are interposition vein grafts (usually the greater saphenous vein), free arterial grafts (radial artery), and pedicled arterial grafts (superficial temporal artery). The goal of this review is to summarize the conduits commonly used in cerebral revascularization with emphasis on their patency rates and flow characteristics. Comparisons are made with similar data available in the cardiovascular literature.

Original languageEnglish (US)
Pages (from-to)e3
JournalNeurosurgical focus
Volume14
Issue number3
DOIs
StatePublished - Mar 15 2003

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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