Double-Barrel Superficial Temporal Artery to Proximal Middle Cerebral Artery Bypass to Treat Complex Intracranial Aneurysms: A Reliable High Blood Flow Bypass

2019 ◽  
Vol 125 ◽  
pp. e884-e890 ◽  
Author(s):  
Peng Hu ◽  
Hong-Qi Zhang ◽  
Xiao-Yu Li ◽  
Xian-Zeng Tong
Keyword(s):  
Blood Flow ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Intracranial Aneurysms ◽  
Artery Bypass ◽  
Superficial Temporal Artery ◽  
Temporal Artery ◽  
Proximal Middle Cerebral Artery

Superficial Temporal Artery-Middle Cerebral Artery Bypass Using a Thick STA after Endarterectomy: A Rescue Technique

2017 ◽  
Vol 78 (06) ◽  
pp. 595-600 ◽  
Author(s):  
Akira Tamase ◽  
Tomoya Kamide ◽  
Kentaro Mori ◽  
Syunsuke Seki ◽  
Yu Iida ◽  
...  
Keyword(s):  
Blood Flow ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Internal Carotid ◽  
Artery Bypass ◽  
Superficial Temporal Artery ◽  
Temporal Artery ◽  
Rescue Technique ◽  
Size Discrepancy ◽  
Thickened Intima

Background and Objective Superficial temporal artery (STA)-middle cerebral artery (MCA) bypass is a procedure to reconstruct cerebral blood flow in the MCA territory. In some cases, the STA wall is thickened and the size discrepancy between STA and MCA is apparent. In such a situation, STA-MCA bypass is challenging. We present two patients who underwent STA-MCA bypass using STA in which a thickened intima was removed. We discuss the usefulness of this rescue technique. Patients and Results A patient with an atherosclerotic MCA occlusion and another with an occluded internal carotid artery are included. Endarterectomy of STA was performed before or during anastomosis, and the intima-resected STA was anastomosed to MCA. In both cases, the STA was thick and hard, and it was difficult to anastomose the STA as it was to the MCA. Patency of the bypass was confirmed by postoperative angiography. Conclusion Endarterectomy of a thickened STA might be an effective rescue technique in cases with severely atherosclerotic STA in STA-MCA bypass.

Reflow into a Thrombosed Giant Middle Cerebral Artery Aneurysm after Extracranial-Intracranial Bypass

Neurosurgery ◽  
1984 ◽  
Vol 15 (1) ◽  
pp. 120-124 ◽  
Author(s):  
J. Robbins ◽  
J. M. Fein ◽  
G. Lantos ◽  
N. Hooshangi
Keyword(s):  
Blood Flow ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Artery Bypass ◽  
Superficial Temporal Artery ◽  
Artery Aneurysm ◽  
Temporal Artery ◽  
Clot Lysis ◽  
Middle Cerebral Artery Aneurysm ◽  
Cerebral Artery Aneurysm

Abstract This report graphically illustrates the consequences of flow augmentation through extracranial-intracranial bypass grafts. Propagation of clot from a thrombosed middle cerebral artery aneurysm into the middle cerebral artery produced transient ischemic attacks. Superficial temporal artery-middle cerebral artery bypass was performed to augment cerebral blood flow. Postoperative angiography demonstrated filling of the aneurysm through improved collateral channels. The role of bypass operation in the presence of an aneurysm and its contribution to collateral blood flow and clot lysis are discussed.

Sign in / Sign up

Export Citation Format

Share Document