Superficial temporal-middle cerebral artery anastomoses in the treatment of a carotid-cavernous fistula

1978 ◽  
Vol 49 (5) ◽  
pp. 760-763 ◽  
Author(s):  
Albert Ly-young Shen
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Collateral Circulation ◽  
Internal Carotid ◽  
Carotid Cavernous Fistula ◽  
Content Type ◽  
Complete Occlusion ◽  
Cavernous Fistula ◽  
Contralateral Internal Carotid Artery ◽  
Temporal Middle

✓ 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.

Superficial temporal-middle cerebral artery bypass

1979 ◽  
Vol 51 (4) ◽  
pp. 455-465 ◽  
Author(s):  
Richard E. Latchaw ◽  
James I. Ausman ◽  
Myoung C. Lee
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Collateral Circulation ◽  
Bypass Surgery ◽  
Artery Bypass ◽  
Change Over Time ◽  
Content Type ◽  
Over Time ◽  
Fine Print ◽  
Temporal Middle

✓ Pre- and postoperative angiograms on 40 patients undergoing superficial temporal-middle cerebral artery (STA-MCA) bypass surgery have been examined in detail. Multiple postoperative angiograms have been obtained to evaluate the change in both the bypass circuit and the intracranial circulation over time. A reproducible system for evaluating the degree of intracranial vascular filling via the bypass is introduced. The study shows that the STA and its anastomotic branch increase in size over time, measured in months, in the majority of patients. This is paralleled by a progressive increase in the degree of intracranial vascular filling. These changes are proportional to the severity of the vascular disease before surgery. The pattern of preoperative collateral circulation may change over time following the addition of the bypass circuit. The progressive change over time suggests that a static analysis at one time may belie the true effect of the surgery. The change of collateral circulation, with augmentation of blood supply to areas of the brain other than those affected by the recent ischemic event, means that a total cerebral evaluation including neuropsychological testing may be necessary for adequate evaluation of the effect of the bypass surgery.

Giant traumatic false aneurysm of the internal carotid artery associated with a carotid-cavernous fistula

1981 ◽  
Vol 55 (5) ◽  
pp. 813-818 ◽  
Author(s):  
S. V. Ramana Reddy ◽  
Thoralf M. Sundt
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Middle Cerebral Artery ◽  
Internal Carotid ◽  
False Aneurysm ◽  
Carotid Cavernous Fistula ◽  
Content Type ◽  
Cavernous Fistula ◽  
Prolene Suture ◽  
Fine Print

✓ A case of giant traumatic false aneurysm of the intracranial internal carotid artery (ICA) with a concomitant carotid-cavernous fistula is reported. The fistula and the aneurysm persisted after ipsilateral cervical ICA ligation was performed elsewhere. Successful obliteration of the aneurysm and the fistula, with preservation of cross filling of the ipsilateral middle cerebral artery system, was accomplished by ligation of the intracranial ICA proximal to the origin of the posterior communicating artery with a 7–0 prolene suture, followed by transaneurysmal packing of the fistula.

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
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Internal Carotid ◽  
Carotid Occlusion ◽  
Internal Carotid Occlusion ◽  
Temporal Middle

Treatment of posttraumatic carotid-cavernous fistula using a detachable balloon catheter

1980 ◽  
Vol 53 (6) ◽  
pp. 784-786 ◽  
Author(s):  
Aldo Benati ◽  
Adriano Maschio ◽  
Stefano Perini ◽  
Alberto Beltramello
Keyword(s):  
Blood Flow ◽  
Internal Carotid ◽  
Balloon Catheter ◽  
Carotid Cavernous Fistula ◽  
Detachable Balloon ◽  
Content Type ◽  
Cavernous Fistula ◽  
Carotid Blood Flow ◽  
Fine Print

✓ Five cases of posttraumatic carotid-cavernous fistula are reported. The fistulas were occluded by intravascular detachable balloons, as described by Serbinenko and later modified by Debrun. The good results obtained in three of these patients illustrate the value of this procedure, as it allows a direct obliteration of the fistula with preservation of the internal carotid blood flow.

Proatlantal intersegmental artery and trigeminal artery associated with an aneurysm

1983 ◽  
Vol 59 (3) ◽  
pp. 520-523 ◽  
Author(s):  
Yuichiro Tanaka ◽  
Hideaki Hara ◽  
Genki Momose ◽  
Shigeru Kobayashi ◽  
Shigeaki Kobayashi ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Incidental Findings ◽  
Internal Carotid ◽  
Trigeminal Artery ◽  
Content Type ◽  
Primitive Trigeminal Artery ◽  
Fine Print

✓ A case of coexisting proatlantal intersegmental artery and primitive trigeminal artery is described. These anomalies were incidental findings in a patient with hemiparesis due to occlusion of the middle cerebral artery. The primitive trigeminal artery had an asymptomatic aneurysm at its origin from the internal carotid artery.

Fatal paradoxical muscle embolization in traumatic carotid-cavernous fistula repair

1976 ◽  
Vol 44 (4) ◽  
pp. 513-516 ◽  
Author(s):  
William F. McCormick ◽  
Patrick J. Kelly ◽  
Mohammed Sarwar
Keyword(s):  
Internal Carotid ◽  
Brain Infarction ◽  
Cerebral Arteries ◽  
Fistula Repair ◽  
Carotid Cavernous Fistula ◽  
Unique Case ◽  
Content Type ◽  
Cavernous Fistula ◽  
Middle Cerebral Arteries ◽  
The Right

✓ A unique case of fatal paradoxical muscle embolism in a patient with a traumatic carotid-cavernous fistula is described. The muscle plug intended to occlude a left-sided fistula passed through the large fistula, bypassed the lungs by way of a patent foramen ovale, and embolized through the right carotid artery to lodge in the internal carotid and middle cerebral arteries producing fatal brain infarction.

Counter-pressure microfork for intracranial vascular anastomosis

1979 ◽  
Vol 51 (3) ◽  
pp. 417-419
Author(s):  
Milton D. Heifetz
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Vascular Anastomosis ◽  
Content Type ◽  
Counter Pressure ◽  
Fine Print ◽  
Temporal Middle

✓ A technique is described using a counter-pressure device in suturing for superficial temporal-middle cerebral artery anastomoses.

Traumatic occlusion of the middle cerebral artery

1973 ◽  
Vol 39 (6) ◽  
pp. 753-756 ◽  
Author(s):  
Charles R. Loar ◽  
William M. Chadduck ◽  
G. Robert Nugent
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Content Type ◽  
Complete Occlusion ◽  
Motorcycle Accident ◽  
The Right ◽  
Fine Print

✓ A case is reported of a patient rendered unconscious in a motorcycle accident. After a 6-hour lucid interval, he became unconscious again, and a left hemiplegia was noted. Arteriography demonstrated complete occlusion of the right middle cerebral artery. Comparable reported cases and theories of pathogenesis are discussed.

Reopening some occluded carotid arteries

1976 ◽  
Vol 45 (4) ◽  
pp. 442-446 ◽  
Author(s):  
William A. Shucart ◽  
Eddy Garrido
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Collateral Circulation ◽  
Cerebral Hemisphere ◽  
Carotid Arteries ◽  
Internal Carotid ◽  
Technical Success ◽  
Content Type ◽  
Complete Occlusion ◽  
Fine Print

✓ Four cases are presented in which intermittent ischemic symptomatology was referable to a cerebral hemisphere. Arteriography in each case showed complete occlusion of the ipsilateral internal carotid artery in the neck with collateral filling of the ipsilateral intracranial carotid artery into the cavernous portion. Endarterectomy was performed successfully in each case from 1 to 5 weeks after the demonstrated complete occlusion. The collateral circulation to the intracranial portion of the internal carotid artery and the probable reasons for the technical success of these operations are discussed.

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