title: Carotid Reconstruction with Bovine Carotid Heterograft after En Bloc Resection of Squamous Cell Carcinoma with Direct Internal Carotid Invasion.
abstract: We report a novel use of Artegraft (North Brunswick, NJ) bovine heterograft for carotid reconstruction after resection of a neck squamous cell carcinoma (SCC). A 65-year-old man presented with a large left neck SCC encasing and invading the cervical internal carotid artery (ICA). Computed tomography angiography revealed an incomplete Circle of Willis, and no viable vein conduit on duplex mapping. The patient underwent en bloc resection including portion of the cervical ICA followed by reconstruction with Artegraft which was well tolerated. This represents the first case report of tumor invasion of the ICA reconstructed using Artegraft as conduit.
authors.affiliation: Division of Vascular and Endovascular Surgery, Department of Cardiothoracic and Vascular Surgery, Montefiore Medical Center, Bronx, NY.
authors.forename: Eric B
authors.initials: EB
authors.lastname: Trestman
authors.affiliation: Division of Vascular and Endovascular Surgery, Department of Cardiothoracic and Vascular Surgery, Montefiore Medical Center, Bronx, NY.
authors.forename: Evan
authors.initials: E
authors.lastname: Garfein
authors.affiliation: Division of Vascular and Endovascular Surgery, Department of Cardiothoracic and Vascular Surgery, Montefiore Medical Center, Bronx, NY.
authors.forename: Thomas
authors.initials: T
authors.lastname: Ow
authors.affiliation: Division of Vascular and Endovascular Surgery, Department of Cardiothoracic and Vascular Surgery, Montefiore Medical Center, Bronx, NY.
authors.forename: Evan C
authors.initials: EC
authors.lastname: Lipsitz
authors.affiliation: Division of Vascular and Endovascular Surgery, Department of Cardiothoracic and Vascular Surgery, Montefiore Medical Center, Bronx, NY.
authors.forename: Pablo
authors.initials: P
authors.lastname: De Los Santos
authors.affiliation: Division of Vascular and Endovascular Surgery, Department of Cardiothoracic and Vascular Surgery, Montefiore Medical Center, Bronx, NY. Electronic address: sshariff@montefiore.org.
authors.forename: Saadat
authors.initials: S
authors.lastname: Shariff
mesh_terms: D000368:Aged; D000818:Animals; D001705:Bioprosthesis; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D002294:Carcinoma, Squamous Cell / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D002417:Cattle; D000072226:Computed Tomography Angiography; D006258:Head and Neck Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D064593:Heterografts; D006801:Humans; D008297:Male; D009361:Neoplasm Invasiveness; D011474:Prosthesis Design; D019651:Plastic Surgery Procedures / Q000295:instrumentation*; D000077195:Squamous Cell Carcinoma of Head and Neck; D016896:Treatment Outcome