Anatomical Study of the Superficial Temporal Artery

Neurosurgery ◽  
1985 ◽  
Vol 16 (6) ◽  
pp. 786-790 ◽  
Author(s):  
Stephen R. Marano ◽  
Donald W. Fischer ◽  
Casey Gaines ◽  
Volker K.H. Sonntag
Keyword(s):  
Superficial Temporal Artery ◽  
Anatomical Study ◽  
Temporal Artery ◽  
Microvascular Anastomosis ◽  
Additional Branch ◽  
Autopsy Specimens ◽  
Outside Diameter ◽  
Human Autopsy ◽  
Frontal Branch

Abstract Fifty consecutive human autopsy specimens were studied to determine the suitability of the superficial temporal artery (STA) for use in microvascular anastomoses. Ten variations of the STA were found. The STA at the zygoma averaged 2.2 mm in outside diameter. The STA averaged 31.7 mm from the zygoma to its bifurcation, where the average outside diameter was 1.9 mm. Eight per cent of the specimens had no bifurcation, and 92% had at least one branch in a frontal or parietal distribution that was ≥1 mm. A suitable frontal branch (i.e., ≥1 mm in diameter and ≥70 mm in length) was found in 90% of the specimens, and a suitable parietal branch was found in 71%. Six specimens (12%) had an additional branch, all of which were of suitable length and diameter. Eight per cent of the specimens lacked a vessel suitable for microvascular anastomosis.

Frontal branch of the superficial temporal artery: anatomical study and clinical implications regarding injectable treatments

2014 ◽  
Vol 37 (1) ◽  
pp. 61-68 ◽  
Author(s):  
Jae-Gi Lee ◽  
Hun-Mu Yang ◽  
Kyung-Seok Hu ◽  
Young-Il Lee ◽  
Hyung-Jin Lee ◽  
...  
Keyword(s):  
Superficial Temporal Artery ◽  
Anatomical Study ◽  
Temporal Artery ◽  
Clinical Implications ◽  
Frontal Branch

A Novel Minimally Occlusive Microvascular Anastomosis Technique Using a Temporary Intraluminal Shunt: A Prospective Technique to Minimize Brain Ischemia Time during Superficial Temporal Artery-to-Middle Cerebral Artery Bypass

2005 ◽  
Vol 57 (suppl_1) ◽  
pp. 191-198 ◽  
Author(s):  
Kartik G. Krishnan ◽  
Papuna Tsirekidze ◽  
Thomas Pinzer ◽  
Gabriele Schackert
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Abdominal Aorta ◽  
Artery Bypass ◽  
Superficial Temporal Artery ◽  
Temporal Artery ◽  
New Technique ◽  
Microvascular Anastomosis ◽  
Occlusion Time ◽  
A New Technique

Abstract OBJECTIVE: To describe a new technique of suturing microvessels with persistent perfusion via a temporary intraluminal microshunt. METHODS: Experiments were conducted in Wistar rats. Abdominal aorta grafts were explanted from donor rats. A soft silicon microcatheter was introduced into the lumen of this graft. The abdominal aorta of a recipient rat was prepared for end-to-side microvascular anastomosis. Acland clamps (S&T AG, Neuhausen, Switzerland) were applied, and a linear arteriotomy was made. One end of the graft-clad microcatheter was introduced into the lumen and occluded with a fenestrated Acland clamp. At a more distal part, a similar arteriotomy was performed, and the other end of the microcatheter was introduced into the lumen and clamped with a fenestrated Acland clip. This created a temporary shunt through the graft-clad microcatheter. Then, the graft was anastomosed to the arteriotomies at both ends, over the microcatheter, in an end-to-side manner. The microcatheter was explanted from the vessel lumen through an arteriotomy in the middle of the graft. The graft was clipped short to close this arteriotomy. The mean total occlusion time before perfusion was reestablished amounted to 3.7 minutes. This experiment was repeated in 12 animals (6 with and 6 without heparin) without technical complications. As controls, conventional anastomoses were made in 2 animals. RESULTS: Suturing microvessels mandates their occlusion during the period of anastomosis. Although ischemia is well tolerated by other tissue types, the brain is quite sensitive to even short windows of ischemia. Nonocclusive anastomotic techniques have been developed recently. These are confined to vessels with luminal diameters greater than 3 mm. We have evolved a novel technique that can be used with microvessels, as pertinent to superficial temporal artery-to-middle cerebral artery bypass. CONCLUSION: We have described a new technique for performing microvascular anastomoses over a temporary intraluminal microcatheter shunt.

scholarly journals Histomorphometric and sympathetic innervation of the human superficial temporal artery

2011 ◽  
Vol 44 (01) ◽  
pp. 127-133
Author(s):  
Sreenivasulu Reddy ◽  
Pramod Kumar ◽  
Keerthana Prasad
Keyword(s):  
Sympathetic Innervation ◽  
Superficial Temporal Artery ◽  
Age Groups ◽  
Temporal Artery ◽  
Arterial Graft ◽  
Internal Elastic Lamina ◽  
Thin Sections ◽  
Age Related ◽  
Elastic Lamina ◽  
Frontal Branch

ABSTRACT Context: Following microvascular surgeries, stenosis and spasm of the arterial graft or the recipient vessel are serious complications which are often caused by intimal hyperplasia and perivascular nerves, respectively. Aims: The purpose of this study was to understand the characteristics of arterial wall and sympathetic innervation of the human superficial temporal artery (STA) and also, the effect of aging on STA. Methods and Materials: Fifty-two fresh human STA (frontal branch) samples were obtained from 26 cadavers (19 males and 7 females) between the ages of 19 and 83 years. Samples were divided into three age groups: G1, 19-40 years; G2, 41-60 years; G3, over 61 years. 5μm-thin sections of each sample were taken and stained with haematoxylin-eosin, Verhoff's and tyrosine hydroxylase (TH) immunostaining. Results: The well-defined internal elastic lamina (IEL) was observed in all samples of STA, whereas external elastic lamina (EEL) was not prominent in almost all cases or absent in few cases. This might be the important factor in the process of intimal and medial hyperplasia in the frontal branch of STA. Notably, intimal thickening appeared from second decade of life. Sympathetic fibres are located mainly in tunica adventitia and outer media. Mean adventitial and sympathetic areas were found to be 0.080 and 0.010mm2, respectively. Statistical analysis used: One-way ANOVA followed by Tukey HSD post hoc test by using the SPSS 11.5 software. Conclusions: STA is prone to age related pathological changes. Sympathetic index may be used for analysis of sympathetic fibre-related problems (vasospasm, migraine) of the STA.

scholarly journals Traumatic pseudoaneurysm of Superficial Temporal Artery - a case report with review of literature

2014 ◽  
Vol 21 (2) ◽  
pp. 247-249
Author(s):  
Saurabh Jain ◽  
Vinod Sharma ◽  
R.S. Mittal
Keyword(s):  
Case Report ◽  
Superficial Temporal Artery ◽  
Temporal Artery ◽  
Temporal Region ◽  
Review Of Literature ◽  
Traumatic Pseudoaneurysm ◽  
Frontal Branch

Abstract Superficial temporal artery (STA) pseudoaneurysm is uncommon and usually is the result of trauma to the front temporal region. The appearance of a pulsatile preauricular mass chronologically related to trauma is highly suggestive of the diagnosis. Here we discuss a case of trauma to head presented with pseudoaneurysm of frontal branch of temporal artery and its management.

Anatomical study of the superficial temporal artery

Neurosurgery ◽  
1985 ◽  
Vol 16 (6) ◽  
pp. 786???90 ◽  
Author(s):  
S R Marano ◽  
D W Fischer ◽  
C Gaines ◽  
V K Sonntag
Keyword(s):  
Superficial Temporal Artery ◽  
Anatomical Study ◽  
Temporal Artery

scholarly journals Superficial temporal artery–superior cerebellar artery bypass and trapping of a fusiform aneurysm using intradural anterior petrosectomy: technical case report and anatomical study

2019 ◽  
Vol 46 (2) ◽  
pp. E9
Author(s):  
Soichi Oya ◽  
Masahiro Indo ◽  
Masabumi Nagashima ◽  
Toru Matsui
Keyword(s):  
Artery Bypass ◽  
Treatment Options ◽  
Superficial Temporal Artery ◽  
Anatomical Study ◽  
Temporal Artery ◽  
Distal Portion ◽  
Superior Cerebellar Artery ◽  
Parent Artery ◽  
Cerebellar Artery ◽  
Anterior Petrosectomy

Aneurysms at the distal portion of the superior cerebellar artery (SCA) are very rare. Because of the deep location and a propensity for nonsaccular morphology, aneurysm trapping or endovascular occlusion of the parent artery are the usual treatment options, which are associated with varying risks of ischemic complications. The authors report on a 60-year-old woman who had a 3.5-mm unruptured aneurysm in the lateral pontomesencephalic segment of the SCA with a significant interval growth to 8 mm. Direct surgical intervention comprising trapping of the aneurysm through a subtemporal approach and intradural anterior petrosectomy combined with revascularization of the distal SCA using the superficial temporal artery (STA) was performed. This approach provided sufficient space for the bypass instruments to be introduced into the deep surgical field at a more favorable angle to enhance microscopic visualization of the anastomosis with minimal retraction of the temporal lobe. The patient was discharged with no neurological deficit. Preservation of the blood flow in the distal SCA should be attempted to minimize the risk of ischemic injury, particularly when the aneurysms arise in the anterior or lateral segment of the SCA. The authors demonstrate the safety and effectiveness of the intradural anterior petrosectomy for STA-SCA bypass along with a relevant anatomical study.

Sign in / Sign up

Export Citation Format

Share Document