Author/Authors :
Eriş, Cüneyt Bursa Yüksek İhtisas Eğitim ve Araştırma Hastanesi - Kalp ve Damar Cerrahisi Kliniği, Türkiye , Gücü, Arif Bursa Yüksek İhtisas Eğitim ve Araştırma Hastanesi - Kalp ve Damar Cerrahisi Kliniği, Türkiye , Demirtaş, Sinan Dicle Üniversitesi - Tıp Fakültesi - Kalp Damar Cerrahisi Anabilim Dalı, Türkiye , Yümün, Gündüz Bursa Yüksek İhtisas Eğitim ve Araştırma Hastanesi - Kalp ve Damar Cerrahisi Kliniği, Türkiye , Yavuz, Şenol Bursa Yüksek İhtisas Education and Research Hospital - Department of Cardiovascular Surgery, Turkey
Abstract :
Arteriosclerosis, is mostly affect coronary and carotid arteries especially the ostium and bifurcation due to the nature of the flow. Arterial bifurcation lesions cause dilemma for the treating physician during both surgical and invasive procedures because they require a higher clinical experience and longer processing time. In carotid artery surgery, it is accepted that patchplasty prevents perioperative and postoperative restenosis, and as a result of this, it reduces the incidence of ipsilateral stroke. In the present time synthetic patch materials (PTFE, Dacron) and autologous patch materials (saphenous and jugular veins) are used. We report a case of carotid endarterectomy and ‘Y’ shaped saphenous patchplasty to the carotid bifurcation. According to our research in the literature, we didn’t find any case with ‘Y’ shaped saphenous vein patch. There was only one Y shaped carotid patchplasty case by using PTFE material. Our original technic is advantageous in terms of easy preparation and application as well as its successful outcome.
