Carotid artery resection and reconstruction with superficial femoral artery transplantation: a case report

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• 作者：Yoann Pons (1)
  Elsa Ukkola-Pons (2)
  Philippe Clément (1)
  Bernard Baranger (3)
  Claude Conessa (1)
  
• 刊名：Head & Neck Oncology
• 出版年：2009
• 出版时间：December 2009
• 年：2009
• 卷：1
• 期：1
• 全文大小：2099KB
• 参考文献：1. Németh Z, D?m?t?r G, Tálos M, / et al.: Resection and replacement of the carotid artery in metastatic head and neck cancer: literature review and case report. / Int J Oral Maxillofac Surg 2003,32(6):645-0. CrossRef
  2. Ozer E, Agrawal A, Ozer HG, Schuller DE: The impact of surgery in the management of the head and neck carcinoma involving the carotid artery. / Laryngoscope 2008,118(10):1771-. CrossRef
  3. Yu Q, Wang P, Shi H, / et al.: Carotid artery and jugular vein invasion of oral-maxillofacial and neck malignant tumors: Diagnostic value of computed tomography. / Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003,96(3):368-2. CrossRef
  4. Langman AW, Kaplan MJ, Dillon WP, / et al.: Radiologic assessment of tumor and the carotid artery: correlation of magnetic resonance imaging, ultrasound, and computed tomography with surgical findings. / Head Neck 1989,11(5):443-. CrossRef
  5. Miao B, Lu Y, Pan X, Liu D: Carotid artery resection and reconstruction with expanded polytetrafluoroethylene for head and neck cancer. / Laryngoscope 2008,118(12):2135-. CrossRef
  
• 作者单位：Yoann Pons (1)
  Elsa Ukkola-Pons (2)
  Philippe Clément (1)
  Bernard Baranger (3)
  Claude Conessa (1)
  
  1. Head and Neck Surgery Department, ?, H?pital du Val de Grace. 74, Boulevard de Port Royal, 75230, Paris, France
  2. Radiology Department, ?, H?pital du Val de Grace. 74, Boulevard de Port Royal, 75230, Paris, France
  3. Vascular Surgery Department, ?, H?pital du Val de Grace. 74, Boulevard de Port Royal, 75230, Paris, France
  

文摘

Introduction Managing advanced head and neck cancer is often a difficult task, particularly when massive invasion of the carotid artery is present. However, en bloc resection can be a curative procedure, and reconstruction of the carotid artery limits the risk for stroke. The aim of this study was to describe the interest, indication, potential risks, and methods by which we carried out resections as well as reconstructions of the carotid artery using superficial femoral artery transplantation. Subjects and Methods We presented one case of en bloc resection of the carotid artery with reconstruction with superficial femoral artery transplantation. Results Postoperative care was uneventful. The patient did not suffer from neurological deficiency. After three years of follow-up, the patient survived without any cancer recurrence. Conclusion The occurrence of massive cancer invasion into the carotid artery should not be a contraindication for surgery. En bloc resection of the carotid artery with revascularization using the superficial femoral artery allows for appropriate control of the cancer, and carries an acceptable level of neurological risk.