External carotid artery reconstruction performed using an autologous internal carotid artery patch

Technical note

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✓ The reconstruction of the external carotid artery (ECA) and obliteration of an occluded stump or atretic internal carotid artery (ICA) are described. In this method the occluded ICA is used as an autologous patch graft. Satisfactory ICA obliteration and expanded, smooth common carotid artery—ECA contour were obtained in three patients. Advantages of this procedure include ICA obliteration and precise patch placement by using an ideal, autologous, arterial graft.

Article Information

Address reprint requests to: Michael B. Pritz, M.D., Ph.D., Section of Neurological Surgery, Indiana University School of Medicine, Emerson Hall 139, Indianapolis, Indiana 46202–5124. email: mpritz@iupui.edu.

© AANS, except where prohibited by US copyright law.

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Figures

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    Drawings showing ECA reconstruction in which the occluded ICA is used as a patch graft for angioplasty. See text for explanation.

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    Case 2. a: Preoperative right lateral CCA arteriogram demonstrating a large right ICA stump without significant ECA stenosis. b: Postoperative magnetic resonance angiogram of the right cervical CAs demonstrating a widely patent CCA—ECA junction and smooth vessel contour with obliteration of the ICA stump.

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