Midline mandibulotomy and interposition grafting for lesions involving the internal carotid artery below the skull base Pirkka Vikatmaa, MD, Antti A.

Slides:

Advertisements

Similar presentations

Karan Garg, MD, Caron B. Rockman, MD, Victoria Lee, MD, Thomas S

Advertisements

Laparoscopy-assisted abdominal aortic aneurysm repair: Early and middle-term results of a consecutive series of 122 cases Mauro Ferrari, MD, Daniele.

Carotid body tumor presenting with carotid sinus syndrome

Midline mandibulotomy and interposition grafting for lesions involving the internal carotid artery below the skull base Pirkka Vikatmaa, MD, Antti A.

Gluteopopliteal bypass for a compromised groin

Extracranial infected carotid artery aneurysm

Surgical repair of a celiac artery aneurysm using a sutureless proximal anastomosis device Tetsuro Uchida, MD, PhD, Azumi Hamasaki, MD, PhD, Yoshinori.

Neurofibromatosis-associated massive right internal carotid artery aneurysm with a coexisting arteriovenous fistula Marlin Wayne Causey, MD, Daniel M.

Large external iliac vein aneurysm in a patient with a post-traumatic femoral arteriovenous fistula Peter J. Kuhlencordt, MD, Ulrich Linsenmeyer, MD,

Surgical management of a neuroendocrine tumor of the inferior vena cava George Ransford, MD, Rajnikanth Ayyathurai, MD, Gustavo Fernandez, MD, Gaetano.

Aortic arch involvement worsens the prognosis of type B aortic dissections R. James Valentine, MD, Julia M. Boll, MD, Kyle M. Hocking, PhD, John A. Curci,

Hernan A. Bazan, MD, Harry Schanzer, MD Journal of Vascular Surgery

Multiple mycotic aneurysms due to Mycobacterium bovis after intravesical bacillus Calmette-Guérin therapy Raphael Coscas, MD, Jean-Benoît Arlet, MD,

Supra-aortic vessels aneurysms: Diagnosis and prompt intervention

Don't trust a vein graft to treat carotid aneurysm in patients with Behçet disease Xavier Berard, MD, Jean-Marc Corpataux, MD, Habib Taoufiq, MD, Gerard.

Regarding “A simple technique to achieve bloodless excision of carotid body tumors” Fang-Da Li, MD, Xiao-Jun Song, MD, Hua-Liang Ren, MD, Yue-Hong Zheng,

Martin Björck, MD, PhD, David Bergqvist, MD, PhD

Sang-Jun Park, MD, Mi-Na Kim, MD, Tae-Won Kwon, MD, PhD

Reconstructive surgery for segmental arterial mediolysis involving both the internal carotid artery and visceral arteries Hideaki Obara, MD, PhD, Kenji.

Ramon Berguer, M.D., Ph.D. Journal of Vascular Surgery

Safety and effectiveness of the INCRAFT AAA Stent Graft for endovascular repair of abdominal aortic aneurysms Giovanni Torsello, MD, Dierk Scheinert,

Claus G. Schneider, MD, Helmut Kortmann, MD

Pipeline Embolization Device for the treatment of cervical carotid and vertebral dissecting aneurysms Emma F. Sczudlo, BS, Carolina Benavides-Baron,

Implantation of a stent graft in the right pulmonary artery enables radical resection of a central endothelial sarcoma of the left pulmonary artery Pascal.

Open surgical reconstruction of the internal carotid artery aneurysm at the base of the skull Serguei Malikov, MD, PhD, Jean Marc Thomassin, MD, Pierre.

Predictors of carotid artery stenosis after radiotherapy for head and neck cancers Yeu-Jhy Chang, MD, Tung-Chieh Chang, MD, Tsong-Hai Lee, MD, PhD, Shan-Jin.

Preoperative assessment of abdominal aortic aneurysm: The value of helical and three- dimensional computed tomography Mario N. Gomes, MD, William J. Davros,

Bitubular graft as an adjunct for laparoscopic hybrid repair of an abdominal aortic aneurysm Raphaël Coscas, MD, Clément Capdevila, MD, Olivier Goeau-Brissonniere,

Surgical repair of a celiac artery aneurysm using a sutureless proximal anastomosis device Tetsuro Uchida, MD, PhD, Azumi Hamasaki, MD, PhD, Yoshinori.

James O. Menzoian, MD Journal of Vascular Surgery

Rafik El-Sabrout, MD, FRCS(G), Denton A. Cooley, MD

Surgical treatment of extracranial internal carotid artery aneurysms

Combined open and endovascular treatment of a saccular aneurysm and redundant loop of the internal carotid artery Magdiel Trinidad-Hernández, MD, Joseph.

Manuel Caceres, MD, Natalia O. Glebova, MD, PhD

Deming Wang, MD, Lixin Su, PhD, Yifeng Han, MD, Xindong Fan, MD

Staged hybrid approach using proximal thoracic endovascular aneurysm repair and distal open repair for the treatment of extensive thoracoabdominal aortic.

Endovascular repair of an iliac artery aneurysm in a patient with Ehlers-Danlos syndrome type IV Britt H. Tonnessen, MD, W. Charles Sternbergh, MD, Krishna.

Mark C Wyers, MD, Richard J Powell, MD Journal of Vascular Surgery

Trends in neurovascular complications of surgical management for carotid body and cervical paraganglionmas: A fifty-year experience with 153 tumors John.

Resection of recurrent neck cancer with carotid artery replacement

Carotid artery entrapment by the hyoid bone

A rare case of familial carotid body tumor in a patient with bilateral fibromuscular dysplasia Daniel K. Han, BA, Eric W. Fishman, MD, Maggie H. Walkup,

Double osteotomy of mandibula in the treatment of carotid body tumors with skull base extension Giorgio Prouse, MD, Daniela Mazzaccaro, MD, Fernanda.

Intraoperative embolization with poloxamer 407 during surgical resection of a carotid body tumor Enrique María San Norberto, MD, James Henry Taylor,

Anatomical repair of a congenital aneurysm of the distal abdominal aorta in a newborn Sergueï Malikov, MD, PhD, Arnauld Delarue, MD, PhD, Pierre-Olivier.

Dragan J. Milic, PhD, Milan M. Jovanovic, PhD, Sasa S

Joseph P. Archie, PhD, MD Journal of Vascular Surgery

Michiel H. F. Poorthuis, BSc, BA, Eelco C. Brand, BSc, Raechel J

Autologous repair of an internal carotid artery aneurysm by resection, caliber reduction, and external mesh tube reinforcement in a 9-year-old boy Nestoras.

Rectus femoris muscle flap based on proximal insertion mobilization to cover a groin infected vascular graft Luís Silvestre, MD, Luís Mendes Pedro, MD,

Wesley P. Thayer, MD, PhD, John R. Gaughen, MD, Nancy L. Harthun, MD

Infected carotid pseudoaneurysm and carotid-cutaneous fistula as a late complication of carotid artery stenting Amir Kaviani, MD, Kenneth Ouriel, MD,

Isolated spontaneous dissection of the splanchnic arteries

Anthony Carnicelli, BA, Adam Doyle, MD, Michael Singh, MD

Management of a nontraumatic extracranial internal carotid aneurysm with external carotid transposition W. Tracey Jones, MD, Jerry Pratt, MD, James Connaughton,

Charles E. Fields, MD, Thomas C. Bower, MD Journal of Vascular Surgery

Kristofer M. Charlton-Ouw, MD, FACS, Maria E. Codreanu, MD, Samuel S

Robot-assisted laparoscopic renal artery aneurysm reconstruction

Combined endovascular and open operative approach for mycotic carotid aneurysm Thomas C. Tsai, AB, Nikhil Barot, MD, Ronald Dalman, MD, Frederick Mihm,

Robert A. McCready, MD, Steven K. Miller, MD, Ronald C

Massive upper gastrointestinal bleeding due to a ruptured superior mesenteric artery aneurysm duodenum fistula Jichun Zhao, MD, PhD Journal of Vascular.

The Giacomini vein as an autologous conduit in infrainguinal arterial reconstruction Konstantinos T. Delis, MD, PhD, FRCSI, EBSQvasc, Mark Swan, MRCS,

A. Assadian, MD, C. Senekowitsch, MD, R. Rotter, MD, C. Zölß, MD, J

Relationship between access side used to deliver the main body of bifurcated prostheses for endovascular aneurysm repair and speed of cannulation of the.

Concomitant asymptomatic internal carotid artery and persistent primitive hypoglossal artery stenosis treated by endovascular stenting with proximal embolic.

Reconstruction of the ligated external carotid artery for embolization of cervicofacial arteriovenous malformations Thomas S. Riles, MD, Alejandro Berenstein,

Sang-Jun Park, MD, Mi-Na Kim, MD, Tae-Won Kwon, MD, PhD

Left common iliac artery to inferior vena cava abdominal wall arteriovenous graft for hemodialysis access Nader Zamani, BS, Javier E. Anaya-Ayala, MD,

New exposure technique for management of giant internal carotid artery aneurysm Kiriakos Ktenidis, MD, PhD, EBSQ-VASC, Athanasios Lioupis, MD, PhD, Aggelos.

Open repair of abdominal aortic aneurysm in a centenarian

Presentation transcript:

Midline mandibulotomy and interposition grafting for lesions involving the internal carotid artery below the skull base Pirkka Vikatmaa, MD, Antti A. Mäkitie, MD, PhD, Mikael Railo, MD, PhD, Jyrki Törnwall, MD, PhD, Anders Albäck, MD, PhD, Mauri Lepäntalo, MD, PhD Journal of Vascular Surgery Volume 49, Issue 1, Pages 86-92 (January 2009) DOI: 10.1016/j.jvs.2008.08.047 Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

Fig 1 A schematic drawing of the autologous interposition graft (blue) and its relation to the bony structures and the resected carotid bifurcation and internal carotid artery (ICA) (dotted red line). A, Intraosseal part of the internal carotid artery; B, distal anastomosis; C, resected carotid artery; D, autologous vein interposition; E, common carotid artery; I, intracranial ICA; S, styloid process; T, tympanic bone. Medial (and oral cavity) is the right side of the picture. Journal of Vascular Surgery 2009 49, 86-92DOI: (10.1016/j.jvs.2008.08.047) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

Fig 2 Skin incision for combined midline mandibulotomy and radical neck tumour surgery exposure. Journal of Vascular Surgery 2009 49, 86-92DOI: (10.1016/j.jvs.2008.08.047) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

Fig 3 Operative field after a radical neck dissection with the interposition in place. In this operation for an extensive lingual epidermoid carcinoma, the left hemimandible was resected (Patient 1). In the other cases, the hemimandible was lifted up as a hinge and did not restrict the exposition to the distal internal carotid artery (ICA). Note that the neck is hyperextended and thus the graft seems to be under tension, which will be relieved when the neck is neutralized. Arrows, proximal and distal anastomosis; A, anteriorly transsected mandible. Journal of Vascular Surgery 2009 49, 86-92DOI: (10.1016/j.jvs.2008.08.047) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

Fig 4 Computed tomography (CT) reconstruction of a bipartial benign noncapsular paraganglioma in a 21-year-old male (Patient 4). The white arrows mark the two parts of the tumor. The smaller, more cranial part is extending into the carotid canal. The upper internal carotid artery (ICA) interposition anastomosis was performed at the level marked with a small black arrow. This picture shows the limiting bony structure of the tympanic bone. ECA, External carotid artery; DEX, dexter. Journal of Vascular Surgery 2009 49, 86-92DOI: (10.1016/j.jvs.2008.08.047) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

Fig 5 A computed tomography (CT) reconstruction of a 60 mm internal carotid artery (ICA) aneurysm showing the distal proportions of skull base and the artery cranial to the aneurysm (white arrow). B marks the level of the carotid bifurcation (Patient 5). Journal of Vascular Surgery 2009 49, 86-92DOI: (10.1016/j.jvs.2008.08.047) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

Fig 6 A 54-year-old male internal carotid artery (ICA) aneurysm patient 2 years after the operation (Patient 5). He had no major surgery-related difficulties and stated that after 12 years of follow-up and uncertainty, he was very happy with the physical and psychological impact of the operation. Journal of Vascular Surgery 2009 49, 86-92DOI: (10.1016/j.jvs.2008.08.047) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions