Extracranial-intracranial Bypass for Reconstruction of Internal Carotid Artery in the Management of Head and Neck Cancer

Chazono, Hideaki; Okamoto, Yoshitaka; Matsuzaki, Zensei; Ogino, Jun; Endo, Shuichiro; Matsuoka, Tomokazu; Horikoshi, Tooru; Nukui, Hideaki; Hadeishi, Hiromu; Yasui, Nobuyuki

doi:10.1007/s10016-003-0003-4

Cited by 39 publications

(15 citation statements)

References 18 publications

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“…In patients with an artery severely affected by atherosclerosis or after carotid artery resection due to tumor invasion, vessel transplantation is the surgical mainstay of therapy (1)(2)(3)(4)(5)(6)(7). The preferred bypass substitute is the patient's own vessels.…”

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confidence: 99%

A Novel Strategy to Engineer Small‐Diameter Vascular Grafts From Marrow‐Derived Mesenchymal Stem Cells

et al. 2011

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Tissue-engineered blood vessels have mainly relied on endothelial cells (ECs), smooth muscle cells (SMCs), and biocompatible materials. However, long-term results have revealed several material-related failures, such as stenosis, thromboembolization, and the risk of infection. Furthermore, SMCs from elderly persons have reduced capacity in proliferation and collagen production. Mesenchymal stem cells (MSCs) have the ability to differentiate into multiple cell lineages, including osteoblasts, chondrocytes, ECs, and SMCs. In the current experiment, rabbit MSCs were cultured to form a cell sheet. A tissueengineered vascular graft (TEVG) was fabricated by rolling the MSC sheet around a mandrel.The TEVG was implanted into a defect of the common carotid artery after it was examined macroscopically and microscopically. Hematoxylin and eosin staining showed that cell sheet was composed of five to seven layers of cells with the thickness of 40-50 mm. Results from the adhesion assay revealed that MSCs had similar antiplatelet adhesion property to ECs. Histological analysis of TEVGs showed that the layers of the cell sheet had fully fused in vitro. After implantation, TEVGs had excellent patency and integrated well with the native vessel. The structure of the TEVGs was similar to that of the native artery 4 weeks after implantation. Electron microscopy showed that the implanted TEVGs endothelialized. These results indicated that a completely biological TEVG could be assembled with autologous MSCs. These TEVGs are useful for revascularization in humans, which would reduce the occurrence of complications caused by foreign materials.

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confidence: 99%

A Novel Strategy to Engineer Small‐Diameter Vascular Grafts From Marrow‐Derived Mesenchymal Stem Cells

et al. 2011

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“…Fifteen articles were added to the study from searching the references of papers encountered through the literature search. After the second group reviewed the remaining 78 articles, 27 were selected that had sufficient data about extracranial‐intracranial bypass for tumors that could be analyzed in the final review (Table ) …”

Section: Resultsmentioning

confidence: 99%

“…Knowledge can be gained by reviewing the literature and building on those advances and experience. Approximately 368 reported cases exist of cerebral revascularization following large vessel sacrifice for tumor resection with vascular replacement through EC‐IC bypass. This excludes case reports and case series with less than three patients.…”

Section: Resultsmentioning

confidence: 99%

EC‐IC bypass for cerebral revascularization following skull base tumor resection: Current practices and innovations

Wolfswinkel

Landau

Rāviņa

et al. 2018

Journal of Surgical Oncology

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Complex skull base tumors can involve critical vessels of the head and neck. To achieve a gross total resection, vessel sacrifice may be necessary. In cases where vessel sacrifice will cause symptomatic cerebral ischemia, surgical revascularization is required. The purpose of this paper is to review cerebral revascularization for skull base tumors, the indications for these procedures, outcomes, advances, and future directions.

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“…In addition to graft thrombosis, cerebral infarction can be caused by a prolonged ischemia time of the recipient segment of the MCA. Chazono et al 15 reported a case of intraoperative infarction with a clamping time of 65 minutes and no infarction in three identical cases with clamping times of 30 to 40 minutes.…”

Section: Discussionmentioning

confidence: 99%

Extracranial-Intracranial High-Flow Bypass with Internal Carotid Artery Ligation at Neck for Giant Cavernous Internal Carotid Artery Dissecting Aneurysm in a Teen Girl with Postoperative Unusual Complication of Mono-ocular Blindness: A Case Report

Chowdhury

Ekramullah

Khalil

et al. 2019

IJNS

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Extracranial-intracranial (EC-IC) high-flow bypass with internal carotid artery (ICA) ligation at the neck is an important treatment option for giant cavernous ICA dissecting aneurysm. Such treatment may be associated with many complications. We report a case that developed postoperative mono-ocular blindness. So far to our knowledge such complication has not been reported in the literature. A 14-year-old girl presented with recent headache, eye ache, occasional double vision, and occasional right-sided visual impairment. Neurologic examination revealed no abnormality. Computed tomographic (CT) scan of the head showed a large, right parasellar, and mostly hyperdense space-occupying lesion. CT angiogram of the brain showed giant dissecting aneurysm of right-sided cavernous segment ICA. A right-sided external carotid artery–radial artery graft–middle cerebral artery (ECA-RAG-MCA [M2]) high-flow bypass was done with ligation of the right ICA in the neck. Postoperatively, the patient developed complete, mono-ocular, and permanent blindness on right side. Mono-ocular blindness is a serious complication from ophthalmic/central retinal artery thrombosis in high-flow EC-IC bypass with ICA ligation. Strategy is required to find and to set for its prevention.

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Extracranial-intracranial Bypass for Reconstruction of Internal Carotid Artery in the Management of Head and Neck Cancer

Cited by 39 publications

References 18 publications

A Novel Strategy to Engineer Small‐Diameter Vascular Grafts From Marrow‐Derived Mesenchymal Stem Cells

A Novel Strategy to Engineer Small‐Diameter Vascular Grafts From Marrow‐Derived Mesenchymal Stem Cells

EC‐IC bypass for cerebral revascularization following skull base tumor resection: Current practices and innovations

Extracranial-Intracranial High-Flow Bypass with Internal Carotid Artery Ligation at Neck for Giant Cavernous Internal Carotid Artery Dissecting Aneurysm in a Teen Girl with Postoperative Unusual Complication of Mono-ocular Blindness: A Case Report

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