Endarterectomy and saphenous vein ‘Y’ patchplasty technique for severe carotid artery bifurcation lesion
Journal Title: Dicle Tıp Dergisi - Year 2013, Vol 40, Issue 3
Abstract
Arteriosclerosis, is mostly affect coronary and carotid arteries especially the ostium and bifurcation due to the nature of the flow. Arterial bifurcation lesions cause dilemma for the treating physician during both surgical and invasive procedures because they require a higher clinical experience and longer processing time. In carotid artery surgery, it is accepted that patchplasty prevents perioperative and postoperative restenosis, and as a result of this, it reduces the incidence of ipsilateral stroke. In the present time synthetic patch materials (PTFE, Dacron) and autologous patch materials (saphenous and jugular veins) are used. We report a case of carotid endarterectomy and ‘Y’ shaped saphenous patchplasty to the carotid bifurcation. According to our research in the literature, we didn’t find any case with ‘Y’ shaped saphenous vein patch. There was only one Y shaped carotid patchplasty case by using PTFE material. Our original technic is advantageous in terms of easy preparation and application as well as its successful outcome. Key words: Carotid artery diseases, saphenous vein, patchplasty
Authors and Affiliations
Cüneyt Eriş, Arif Gücü, Sinan Demirtaş, Gündüz Yümün, Şenol Yavuz
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