Carotid Interposition Grafting

  • Sachinder Singh Hans


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.


Carotid interposition graft Failed carotid artery stenting Tapered PTFE graft Greater saphenous vein graft Superficial femoral artery interposition graft Head and neck cancer invading carotid artery 

Suggested Reading

  1. Berguer R. Function and surgery of the carotid and vertebral arteries. Philadelphia, PA: Lippincott Williams & Wilkins Health; 2014. p. 109.Google Scholar
  2. Gonzalez A, Drummond MD, McCord S, et al. Carotid endarterectomy for treatment of in-stent stenosis. J Vasc Surg. 2011;54:1167–9.CrossRefGoogle Scholar
  3. 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.CrossRefGoogle Scholar

Copyright information

© The Author(s) 2018

Authors and Affiliations

  • Sachinder Singh Hans
    • 1
    • 2
    • 3
  1. 1.Medical Director of Vascular and Endovascular ServicesHenry Ford Macomb HospitalClinton TownshipUSA
  2. 2.Chief of Vascular SurgerySt. John Macomb HospitalWarrenUSA
  3. 3.Department of SurgeryWayne State University School of MedicineDetroitUSA

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