Interposition Short Vein Grafts
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.
Techniques in Neurosurgery
Digital Object Identifier (DOI)
Detwiler, P. W.; Porter, Randall W.; Zabramski, Joseph M.; and Spetzler, Robert F., "Interposition Short Vein Grafts" (2000). Neurosurgery. 220.