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Home > Images > Vascular Trauma > Gunshot wound to carotid artery - operative - 03

Herb Phelan, Brian Eastridge, Parkland Memorial Hospital, Dallas, Texas

A reversed saphenous vein graft was then used to reestablish flow from the common carotid to the internal carotid artery.

Associated Images

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.

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