Abstract
Carotid interposition grafting (CIG) is an uncommon operation as compared to carotid endarterectomy (CEA). The exposure is similar to CEA for high plaque. In some patients, distal control of the ICA may necessitate balloon occlusion. Interposition graft material can be a tapered PTFE graft, greater saphenous vein graft, or superficial femoral artery conduit in patients with head and neck malignancy invading the carotid artery. Distal anastomosis of the graft to the divided ICA is performed first followed by proximal anastomosis of the divided CCA to the graft. The external carotid artery is usually ligated.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Suggested Reading
Berguer R. Function and surgery of the carotid and vertebral arteries. Philadelphia, PA: Lippincott Williams & Wilkins Health; 2014. p. 109.
Gonzalez A, Drummond MD, McCord S, et al. Carotid endarterectomy for treatment of in-stent stenosis. J Vasc Surg. 2011;54:1167–9.
Jacobs JR, Korkmaz H, Marks HC, Kline R, Buerger R. One stage carotid artery resection reconstruction in radiated head and neck carcinoma. Am J Otolaryngol. 2001;22:167–71.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 The Author(s)
About this chapter
Cite this chapter
Hans, S.S. (2018). Carotid Interposition Grafting. In: Hans, S. (eds) Extracranial Carotid and Vertebral Artery Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-91533-3_14
Download citation
DOI: https://doi.org/10.1007/978-3-319-91533-3_14
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-91532-6
Online ISBN: 978-3-319-91533-3
eBook Packages: MedicineMedicine (R0)