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A reversed saphenous vein graft was then used to reestablish flow from the common carotid to the internal carotid artery.
Gunshot wound to mandible - lateral X-ray
Left carotid artery angiogram following gunshot wound
Carotid angiogram showing disruption of external and internal carotid arteries
Carotid angiogram showing disruption of external and internal carotid arteries
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Comments
Dr.Suhail yaqoob, July 12, 2007
Do we need to reverse the saphenous vein in the carotid arteries
hphela, Parkland Memorial Hospital, Dallas, TX, USA, July 15, 2007
Yes. The valves in the vein graft may still be competent.
Dr.Suhail yaqoob, July 16, 2007
Why should we reverse the vein in the carotid graft as the valves can obstruct the blood flow as it goes to the brain.
hphela, Parkland Memorial Hospital, Dallas, TX, USA, July 16, 2007
Anastomosing the proximal end of the saphenous vein to the proximal common carotid (or any other) artery would result in the valves obstructing flow. By reversing the vein graft (ie, anastomosing the distal end of the vein to the proximal common carotid stump)this effect is avoided.
Dr.Suhail yaqoob, July 17, 2007
Thanks for simplifying & helping me understand the things.
