Graft selection in cerebral revascularization

Abstract

<jats:p>Cerebral revascularization constitutes an important treatment modality in the management of complex aneurysms, carotid occlusion, tumor, and moyamoya disease. Graft selection is a critical step in the planning of revascularization surgery, and depends on an understanding of graft and regional hemodynamics, accessibility, and patency rates. The goal of this review is to highlight some of these properties.</jats:p>

Botulinum toxin to improve vessel graft patency in cerebral revascularization surgery: report of 3 cases

“…Historically, the 2 main options for cerebral bypass grafts have been the radial artery (RA) and the saphenous vein. 2,12,29 While there are advantages and disadvantages to both, RA grafts are generally preferred for EC-IC bypass given their higher overall patency rates and better donor-recipient vessel size matching. Nonetheless, RA grafts are at risk for spasm, an extreme smooth muscle-mediated vasoconstrictive response to mechanical or pharmacological stimuli, which can occur in up to 10% of cases.…”

The Efficacy of Bypass Surgery Using a Short Interposition Graft for the Treatment of Intracranial Complex Aneurysm

“…In addition, SVG is vulnerable to traumatic injury during harvesting. Arterial grafts are generally more resistant to kinking and torsion than vein grafts (3,15). Also, arteries do not have valves and remain open even at low flow rates.…”

Radial artery grafts for symptomatic cavernous carotid aneurysms in elderly patients

“…Of the various types of cerebral revascularization procedures, revascularization using the radial artery in particular, rather than the internal carotid artery, is the procedure associated with lower blood flow. [25,26] With this procedure the need for additional treatment is extremely low. [20,23] If a saphenous vein is used, depending upon the thickness of the vessel there may be a need for the use of antiplatelet agents or anticoagulants.…”