Related Experiment Video
Updated: Apr 3, 2026
Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
Carotid bypass using the Gore Hybrid Vascular Graft as a rescue technique for on-table failed carotid endarterectomy
Domenico Valenti1, Saiqa Sayed1, Hiren Mistry1
1Department of Vascular Surgery, King's College Hospital, London, United Kingdom.
Insights
Carotid endarterectomy is standard for carotid artery disease. A novel hybrid vascular graft offers a viable alternative for complex cases where standard procedures fail, improving treatment options.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
Background:
- Carotid endarterectomy (CEA) is the primary treatment for atherosclerotic carotid bifurcation lesions.
- Carotid bypass grafting serves as an alternative for challenging cases or failed CEA.
Observation:
- This study evaluates the initial experience with the Gore Hybrid Vascular Graft.
- The graft was used as a rescue technique in six patients with failed standard CEA.
Findings:
- The Gore Hybrid Vascular Graft demonstrated utility as a rescue option in complex carotid artery disease cases.
- Successful application of the hybrid graft in challenging endarterectomy scenarios was observed.
Implications:
- This approach may expand treatment possibilities for patients with severe carotid atherosclerosis.
- Further research is warranted to establish long-term outcomes and compare with traditional methods.
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.
