{Reference Type}: Journal Article
{Title}: Carotid-carotid artery crossover bypass using the Saphenous Vein Graft for symptomatic common carotid artery occlusion: how I do it.
{Author}: Duangprasert G;Chotsakulthong P;Durongkaweroj P;Tantongtip D;
{Journal}: Acta Neurochir (Wien)
{Volume}: 166
{Issue}: 1
{Year}: 2024 May 28
{Factor}: 2.816
{DOI}: 10.1007/s00701-024-06144-5
{Abstract}: <B>BACKGROUND: </B>Common carotid artery occlusion (CCAO) is rare, where a revascularization procedure might be needed in symptomatic or recurrent ischemic events. In this study, we describe the carotid-carotid artery crossover bypass technique for Riles type 1 A CCAO.<BR><B>METHODS: </B>The procedure was conducted via bilateral neck incisions utilizing the saphenous vein graft. The graft was patent after surgery, along with substantial improvement in cerebral perfusion, resulting in a stroke-free postoperative period.<BR><B>CONCLUSIONS: </B>The carotid-carotid crossover bypass is effective for CCAO patients requiring revascularization. However, individual bypass options and vascular grafts should be carefully considered.