Ipsilateral carotid bypass outcomes in hostile neck anatomy

Carotid artery replacement with superficial femoral artery in a patient with recurrent radiation-induced carotid artery stenosis

“…Although a small series, at 3 years of follow-up, the primary patency was 100%. 10 In our case, the patient did not experience any 30-day postoperative events but developed symptomatic recurrent stenosis at 2 months after reconstruction. Owing to the short-segment stenosis of the bypass segment, we managed it with angioplasty and stent grafting.…”

“…They reported a 30-day rate of stroke and hypoglossal nerve injury in patients with hostile neck anatomy of 12% and 16%, respectively. 10 These results should alert providers of the high-risk nature of these reconstructions. Although a small series, at 3 years of follow-up, the primary patency was 100%.…”

“…Carotid artery reconstruction after radiation or prior surgery remains challenging. Guerra et al 10 reported the outcomes of carotid artery bypass in patients with hostile neck anatomy (prior radiation or surgery). They reported a 30-day rate of stroke and hypoglossal nerve injury in patients with hostile neck anatomy of 12% and 16%, respectively.…”