Superficial temporal-middle cerebral artery anastomosis for internal carotid occlusion

1977 ◽  
Vol 37 (3-4) ◽  
pp. 201-217 ◽  
Author(s):  
K. -H. Holbach ◽  
H. Wassmann ◽  
M. Bodosi ◽  
A. P. Bonatelli
1978 ◽  
Vol 49 (5) ◽  
pp. 760-763 ◽  
Author(s):  
Albert Ly-young Shen

✓ The treatment of a patient with a carotid-cavernous fistula and complete occlusion of the contralateral internal carotid artery is reported. Bilateral superficial temporal-middle cerebral artery anastomoses were performed to create collateral circulation prior to trapping the fistula. The patient made an excellent recovery.


Neurosurgery ◽  
1979 ◽  
Vol 5 (5) ◽  
pp. 596-597 ◽  
Author(s):  
Robert Levinthal ◽  
W.E. Stern

Abstract This study compared the superficial temporal-middle cerebral artery (STA-MCA) anastomosis patency in animals with and without proximal embolic middle cerebral artery (MCA) occlusion. Sixteen dogs underwent STA-MCA bypass in association with silicone embolization of the MCA via an internal carotid injection. Animals re-explored 3 to 5 days postoperatively with evaluation of anastomosis patency by Evans blue injection and direct cutting of the STA demonstrated that 10 of 10 dogs with proximal MCA emboli had a patent STA-MCA anastomosis, whereas only 2 of 6 animals without an embolus lodged in the proximal middle cerebral artery had a patent connection. The likelihood of the anastomosis remaining open seems to be greatly influenced by the potential flow gradient between the extracranial and intracranial circulations.


2013 ◽  
Vol 16 (4) ◽  
pp. 521
Author(s):  
VR Roopesh Kumar ◽  
SunilK Narayan ◽  
VenkateshS Madhugiri ◽  
GopalakrishnanM Sasidharan ◽  
SudheerKumar Gundamaneni

Neurosurgery ◽  
1985 ◽  
Vol 16 (4) ◽  
pp. 525-529 ◽  
Author(s):  
Michael Standefer ◽  
John R. Little ◽  
Robert Tomsak ◽  
Anthony J. Furlan ◽  
Hernando Zegarra ◽  
...  

Abstract The retinal circulation of 35 patients (age, 30 to 71 years) with symptomatic internal carotid occlusion (22 cases) or severe inaccessible stenosis (13 cases) was studied both before and after superficial temporal to middle cerebral artery (STA-MCA) bypass surgery using ophthalmodynamometry (ODM) and intravenous fundus fluorescein angiography (IVFA). Ninety-four per cent of the patients were found preoperatively to have funduscopic findings or symptoms indicative of ocular ischemia. ODM values were abnormal preoperatively in 32 of 35 patients (91%), and improvement in ODM values for the ipsilateral eye was noted postoperatively in 25 patients (71%). ODM values obtained during the early (<3 months) and late (>3 months) postoperative periods were significantly improved when compared to the preoperative values. IVFA values were abnormal in 25 of 29 patients (86%) preoperatively, and significant improvement was noted in 22 of 25 patients (88%) postoperatively. Preoperative patients with normal fundus examinations (10 cases) had significantly better values for IVFA and ODM than patients with venous stasis retinopathy. The findings of the study showed that STA-MCA anastomosis is beneficial in treating retinal ischemia secondary to ipsilateral severe inaccessible carotid artery stenosis or occlusion.


1980 ◽  
Vol 145 (4) ◽  
pp. 239-242
Author(s):  
Paul T. McDonald ◽  
John T. Collins ◽  
Norman M. Rich ◽  
Louis Kozloff ◽  
George J. Collins ◽  
...  

Neurosurgery ◽  
1983 ◽  
Vol 12 (3) ◽  
pp. 342-345 ◽  
Author(s):  
Frances K. Conley

Abstract This case history of a man with bilateral carotid artery occlusions presents angiographic documentation of the embolization of a superficial temporal-middle cerebral artery bypass. The embolic source was thrombotic and/or atheromatous debris that had collected in the persistent stump of one of the occluded internal carotid arteries.


1997 ◽  
Vol 7 (3) ◽  
pp. 180-181 ◽  
Author(s):  
Massimo Del Sette ◽  
Claudio Solaro ◽  
Massimo Conti ◽  
Carlo Gandolfo

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