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Titolo:
NEW APPROACH FOR OPERATIVE MANAGEMENT OF VASCULAR-LESIONS OF THE INFRATEMPORAL INTERNAL CAROTID-ARTERY
Autore:
CATALANO PJ; BEDERSON J; TURK JB; SEN C; BILLER HF;
Indirizzi:
CUNY MT SINAI SCH MED,CLIN CTR CRANIAL BASE SURG,DEPT OTOLARYNGOL HEAD & NECK SURG NEW YORK NY 10029 CUNY MT SINAI SCH MED,CLIN CTR CRANIAL BASE SURG,DEPT NEUROL SURG NEWYORK NY 10029
Titolo Testata:
The American journal of otology
fascicolo: 4, volume: 15, anno: 1994,
pagine: 495 - 501
SICI:
0192-9763(1994)15:4<495:NAFOMO>2.0.ZU;2-V
Fonte:
ISI
Lingua:
ENG
Soggetto:
VEIN BYPASS GRAFTS; SKULL BASE; ANEURYSMS; OCCLUSION; ANASTOMOSIS; RESECTION; LIGATION; EXPOSURE; DISTAL;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
30
Recensione:
Indirizzi per estratti:
Citazione:
P.J. Catalano et al., "NEW APPROACH FOR OPERATIVE MANAGEMENT OF VASCULAR-LESIONS OF THE INFRATEMPORAL INTERNAL CAROTID-ARTERY", The American journal of otology, 15(4), 1994, pp. 495-501

Abstract

Direct operative management of aneurysms of the internal carotid artery is associated with significant morbidity. Preauricular surgical approaches to this area can result in violation of the inner ear, temporomandibular joint, or mandibular ramus, and cranial nerves V, VII, IX, X, XI, and XII. A new technique for saphenous vein bypass of the infratemporal and petrous internal carotid artery, using a postauricular curvelinear groove drilled in the mastoid cortex, is described. Proximally, the reverse vein graft is anastomosed to either the internal or external carotid artery, whereas the distal anastomosis is to the horizontal petrous internal carotid artery. The latter is accessed through asmall pterional craniotomy. The internal carotid artery is then ligated between points of anastomosis, thus isolating the lesion and eliminating dissection in the infratemporal fossa. The posterior location ofthe vein graft also avoids potentially infected areas adjacent to theoropharynx, nasopharynx, and soft tissues of the face. Use of the external carotid artery decreases carotid cross-clamp time and minimizes graft length, and creation of a bony canal protects the graft from subsequent compression and kinking.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 15/07/20 alle ore 14:16:01