A novel procedure for reconstruction utilizing superficial femoral vein grafts following en bloc resection of carotid artery and head and neck malignant tumours

Junkichi Yokoyama, Masaki Yazawa, Hitoshi Yoshimoto, Keisuke Ueki, Shunsuke Kawamoto, Shinichi Ohba, Mitsuhisa Fujimaki, Katsuhisa Ikeda

Research output: Contribution to journalArticle

Abstract

OBJECTIVES The objective of our study was to investigate the effectiveness of reconstructing the carotid artery using a superficial femoral vein (SFV). METHODS Ten patients with malignant tumours involving the carotid artery underwent carotid artery resection and reconstruction with the SFV. We use the SFV between the deep femoral vein and perforator branches to the great saphenous vein or deep femoral vein at the popliteal region reconstructive vessel. RESULTS The mean length and diameter of the grafted SFVs were 13.9 and 11.2 mm, respectively. The mean time for SFV acquirement was 18 min. The mean cerebral ischaemic period was 23.1 min. Nine patients did not experience any neurological complications. One patient experienced slight temporary hemiparesis. There was no postoperative vascular graft thrombosis. Donor site complications did not occur. CONCLUSIONS Reconstructing the carotid artery using an SFV is very effective due to the ease in harvesting the vessel and its optimal size and length for carotid artery replacement.

Original languageEnglish
Pages (from-to)175-177
Number of pages3
JournalInteractive Cardiovascular and Thoracic Surgery
Volume19
Issue number2
DOIs
Publication statusPublished - 2014

Fingerprint

Femoral Vein
Carotid Arteries
Neck
Head
Transplants
Neoplasms
Saphenous Vein
Paresis
Blood Vessels
Thrombosis
Tissue Donors

Keywords

  • Carotid artery reconstruction head and neck cancer
  • Carotid artery resection
  • Complications
  • Superficial femoral vein

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pulmonary and Respiratory Medicine
  • Surgery
  • Medicine(all)

Cite this

A novel procedure for reconstruction utilizing superficial femoral vein grafts following en bloc resection of carotid artery and head and neck malignant tumours. / Yokoyama, Junkichi; Yazawa, Masaki; Yoshimoto, Hitoshi; Ueki, Keisuke; Kawamoto, Shunsuke; Ohba, Shinichi; Fujimaki, Mitsuhisa; Ikeda, Katsuhisa.

In: Interactive Cardiovascular and Thoracic Surgery, Vol. 19, No. 2, 2014, p. 175-177.

Research output: Contribution to journalArticle

Yokoyama, Junkichi ; Yazawa, Masaki ; Yoshimoto, Hitoshi ; Ueki, Keisuke ; Kawamoto, Shunsuke ; Ohba, Shinichi ; Fujimaki, Mitsuhisa ; Ikeda, Katsuhisa. / A novel procedure for reconstruction utilizing superficial femoral vein grafts following en bloc resection of carotid artery and head and neck malignant tumours. In: Interactive Cardiovascular and Thoracic Surgery. 2014 ; Vol. 19, No. 2. pp. 175-177.
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AU - Yokoyama, Junkichi

AU - Yazawa, Masaki

AU - Yoshimoto, Hitoshi

AU - Ueki, Keisuke

AU - Kawamoto, Shunsuke

AU - Ohba, Shinichi

AU - Fujimaki, Mitsuhisa

AU - Ikeda, Katsuhisa

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N2 - OBJECTIVES The objective of our study was to investigate the effectiveness of reconstructing the carotid artery using a superficial femoral vein (SFV). METHODS Ten patients with malignant tumours involving the carotid artery underwent carotid artery resection and reconstruction with the SFV. We use the SFV between the deep femoral vein and perforator branches to the great saphenous vein or deep femoral vein at the popliteal region reconstructive vessel. RESULTS The mean length and diameter of the grafted SFVs were 13.9 and 11.2 mm, respectively. The mean time for SFV acquirement was 18 min. The mean cerebral ischaemic period was 23.1 min. Nine patients did not experience any neurological complications. One patient experienced slight temporary hemiparesis. There was no postoperative vascular graft thrombosis. Donor site complications did not occur. CONCLUSIONS Reconstructing the carotid artery using an SFV is very effective due to the ease in harvesting the vessel and its optimal size and length for carotid artery replacement.

AB - OBJECTIVES The objective of our study was to investigate the effectiveness of reconstructing the carotid artery using a superficial femoral vein (SFV). METHODS Ten patients with malignant tumours involving the carotid artery underwent carotid artery resection and reconstruction with the SFV. We use the SFV between the deep femoral vein and perforator branches to the great saphenous vein or deep femoral vein at the popliteal region reconstructive vessel. RESULTS The mean length and diameter of the grafted SFVs were 13.9 and 11.2 mm, respectively. The mean time for SFV acquirement was 18 min. The mean cerebral ischaemic period was 23.1 min. Nine patients did not experience any neurological complications. One patient experienced slight temporary hemiparesis. There was no postoperative vascular graft thrombosis. Donor site complications did not occur. CONCLUSIONS Reconstructing the carotid artery using an SFV is very effective due to the ease in harvesting the vessel and its optimal size and length for carotid artery replacement.

KW - Carotid artery reconstruction head and neck cancer

KW - Carotid artery resection

KW - Complications

KW - Superficial femoral vein

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