Interposition Short Vein Grafts
Department
neurosurgery
Document Type
Article
Abstract
The utility of short vein grafts for revascularization has been demonstrated for occlusive cerebrovascular disease; cerebrovascular aneurysms; skull base tumors of the cavernous sinus, petrous carotid artery, and jugular foramen; iatrogenic injury to cervical and intracranial vasculature; and intracranial venous hypertension from jugular foramen stenosis. Despite the high level of technical expertise demonstrated by neurosurgeons performing these procedures, the rate of graft failure is still greater than 10%. Most vein bypass failures occur within the first 48 hours of surgery, and the entire graft usually must be revised to reestablish patency. Early failures are associated with significant neurologic morbidity and mortality while late failures tend to be asymptomatic. The literature demonstrates the successful application of saphenous vein interposition grafts in certain patients who require a high-flow conduit for the treatment of the aforementioned disease processes.
Publication Date
2000
Publication Title
Techniques in Neurosurgery
ISSN
1077-2855
Volume
6
Issue
2
First Page
127
Last Page
138
Digital Object Identifier (DOI)
10.1097/00127927-200006020-00007
Recommended Citation
Detwiler, P. W.; Porter, Randall W.; Zabramski, Joseph M.; and Spetzler, Robert F., "Interposition Short Vein Grafts" (2000). Neurosurgery. 220.
https://scholar.barrowneuro.org/neurosurgery/220