title: Carotid bypass using the Gore Hybrid Vascular Graft as a rescue technique for on-table failed carotid endarterectomy.
abstract: Carotid endarterectomy (CEA) remains the "gold standard" for atherosclerotic lesions involving the carotid bifurcation. Carotid bypass grafting using either polytetrafluoroethylene or long saphenous vein is a suitable alternative technique, especially in challenging endarterectomy and on-table failed CEA. We report our initial experience of using the Gore Hybrid Vascular Graft (W. L. Gore & Associates, Flagstaff, Ariz) in six patients as a rescue technique when standard CEA failed.
authors.affiliation: Department of Vascular Surgery, King's College Hospital, London, United Kingdom. Electronic address: domenico.valenti@nhs.net.
authors.forename: Domenico
authors.initials: D
authors.lastname: Valenti
authors.affiliation: Department of Vascular Surgery, King's College Hospital, London, United Kingdom.
authors.forename: Saiqa
authors.initials: S
authors.lastname: Sayed
authors.affiliation: Department of Vascular Surgery, King's College Hospital, London, United Kingdom.
authors.forename: Hiren
authors.initials: H
authors.lastname: Mistry
authors.affiliation: Department of Vascular Surgery, King's College Hospital, London, United Kingdom.
authors.forename: Hisham
authors.initials: H
authors.lastname: Rashid
authors.affiliation: Department of Vascular Surgery, King's College Hospital, London, United Kingdom.
authors.forename: Raghvinder
authors.initials: R
authors.lastname: Gambhir
authors.affiliation: Department of Vascular Surgery, King's College Hospital, London, United Kingdom.
authors.forename: Hani
authors.initials: H
authors.lastname: Slim
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D058070:Asymptomatic Diseases; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D016893:Carotid Stenosis / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D000072226:Computed Tomography Angiography; D016894:Endarterectomy, Carotid / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D016879:Salvage Therapy; D012720:Severity of Illness Index; D015607:Stents; D000071062:Sutureless Surgical Procedures; D017211:Treatment Failure; D016896:Treatment Outcome; D014654:Vascular Patency