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CC BY-NC-ND 4.0 · Asian J Neurosurg 2023; 18(04): 796-799
DOI: 10.1055/s-0043-1775587
Case Report

A Case of Symptomatic Common Carotid Artery Occlusion Treated by a Bridging Bypass Using Short Saphenous Vein Graft

Rikiyoshi Yamamoto
1   Department of Neurosurgery, Asahi University Hospital, Gifu, Japan
,
Tomohiro Iida
1   Department of Neurosurgery, Asahi University Hospital, Gifu, Japan
,
Naoki Oka
1   Department of Neurosurgery, Asahi University Hospital, Gifu, Japan
,
Jouji Kokuzawa
1   Department of Neurosurgery, Asahi University Hospital, Gifu, Japan
,
Yasuhiko Kaku
1   Department of Neurosurgery, Asahi University Hospital, Gifu, Japan
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Abstract

An 86-year-old woman with initially asymptomatic severe right common carotid artery stenosis had frequent transient left hemiparesis 2 years after the initial diagnosis. Magnetic resonance angiography and three-dimensional computed tomography angiography demonstrated short-segment occlusion of the right carotid bifurcation with significant circumferential calcification, while magnetic resonance imaging demonstrated no ischemic lesions. No collateral blood flow through the anterior communicating artery and posterior communicating artery was observed. A bridging bypass from the distal common carotid artery to the proximal cervical internal carotid artery using a saphenous vein graft was made. There were no ischemic symptoms following the procedure. Bridging bypass using the short saphenous vein graft might be useful for short-segment common carotid artery occlusion.

Keywords

common carotid artery occlusion - vascular reconstruction - saphenous vein graft


Publication History

Article published online:
07 November 2023

© 2023. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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