EŞ ZAMANLI YAPILAN KAROTİS ENDARTEREKTOMİ VE KORONER ARTER BY-PASS GREFT AMELİYATINDA ALTERNATİF BİR KAROTİS YAMA OLARAK OTOLOG PERİKARD KULLANIMI Usage of Autologous Pericardıum as an Alternative Carotid Patch in Concomitant Carotid Endarterectomy and Coronary Artery By-Pass Graft Surgery

Yıl 2019, Cilt: 9 Sayı: 1, 58 - 63, 26.03.2019

Veysel Başar , Hakan Hançer

Öz

Karotis arter darlığı, iskemik inmenin başlıca nedenlerinden biridir. Karotis endarterektomi

(CEA), karotis arter darlığı için başlıca iki tedavi seçeneğinden biridir. Ameliyatın son aşamasında,

primer sütür ile ve ya sentetik (PTFE ve Dacron) veya otolog (safen ve boyun damarları) greftleri

ile arteriyotomi kapatılması yapılabilir. Bu olgu sunumunda, greft yokluğu durumunda eşzamanlı

yapılan CEA ve koroner arter by-pass greftleme cerrahisi esnasında karotis arteriotomi

kapatılması için otolog perikardiumun patch-greft olarak kullanıldığı dört ayrı olguyu sunmayı

amaçladık.

Anahtar Sözcükler: Endarterktomy; Perikardium; Otolog; Graft; Patch

ABSTRACT

Carotid artery stenosis is one of the main causes for ischemic stroke. Carotid endarterectomy

(CEA) is one of the two major treatment options for carotid artery stenosis. Arteriotomy closure

at the last phase could be performed with primary suturing and also either with synthetic (PTFE

and Dacron) or autologous (saphenous and neck veins) grafts. In this case-report; we aimed

to present four seperate cases in which we used autologous pericardium as a patch-graft for

carotid arteriotomy closure in concomitant CEA and coronary artery by-pass graft surgery

(CABG) in consequence of graft absence.

Keywords: Carotid, Endarterectomy; Pericardium; Autologous; Graft; Patch

Anahtar Kelimeler

EŞ ZAMANLI YAPILAN KAROTİS ENDARTEREKTOMİ VE KORONER ARTER BY-PASS GREFT AMELİYATINDA ALTERNATİF BİR KAROTİS YAMA OLARAK OTOLOG PERİKARD KULLANIMI Usage of Autologous Pericardıum as an Alternative Carotid Patch in Concomitant Carotid Endarterectomy and Coronary Artery By-Pass Graft Surgery

Kaynakça

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