Publication Type |
pre-print |
School or College |
School of Medicine |
Department |
Neurosurgery |
Creator |
Couldwell, William T. |
Other Author |
Taussky, Philipp; Sivakumar, Walavan |
Title |
Submandibular high-flow bypass in the treatment of skull base lesions: an analysis of long-term outcome |
Date |
2012-01-01 |
Description |
Background: Cerebral bypass surgery remains an integral part of the treatment of complex skull base tumors and unclippable aneurysms. Objective: The authors retrospectively analyzed a single-surgeon experience using a high-flow submandibular-infratemporal saphenous vein graft bypass technique after carotid artery sacrifice in the resection of complex skull base tumors and carotid isolation in unclippable aneurysms. Methods: Data on indications, surgical technique, bypass patency, complications, and outcome were collected for patients treated with adjunctive submandibular high-flow bypass for skull base lesions. Results: Eleven patients (age range: 13-77 years) were treated for various skull base lesions: 4 patients were treated for skull base tumors with resection of the ICA, 6 were treated for aneurysms not amenable to clipping, and one was treated for invasive Mucor infection. Using a saphenous vein graft, a high-flow bypass was created from the high cervical internal carotid artery (ICA) or external carotid artery to ICA or middle cerebral artery by means of a submandibular-infratemporal route. Postoperative computed tomography angiography indicated bypass patency in 10/11 patients. There was no operative mortality. Follow-up of up to 12 years (mean 57 months) was achieved. Conclusion: Direct high-flow submandibular-infratemporal interpositional saphenous vein bypass graft is an effective and durable technique for the treatment of complex skull base lesions where internal carotid artery revascularization is indicated. |
Type |
Text |
Publisher |
Lippincott, Williams & Wilkins (Books only) |
Volume |
71 |
Issue |
3 |
First Page |
645 |
Last Page |
650 |
Language |
eng |
Bibliographic Citation |
Couldwell, W. T., Taussky, P., & Sivakumar, W. (2012). Submandibular high-flow bypass in the treatment of skull base lesions: an analysis of long-term outcome. Neurosurgery, 71(3), 645-50. |
Rights Management |
(c) Lippincott Williams and WilkinsN ; doi: 10.1227/NEU.0b013e318260fedd. |
Format Medium |
application/pdf |
Format Extent |
1,437,320 bytes |
Identifier |
uspace,17911 |
ARK |
ark:/87278/s6j422nz |
Setname |
ir_uspace |
ID |
712558 |
Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6j422nz |