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.

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.

Superficial temporal-middle cerebral artery anastomosis associated with glioblastoma multiforme

1977 ◽  
Vol 46 (3) ◽  
pp. 381-384
Author(s):  
Joseph F. Cusick ◽  
Senichiro Komacki ◽  
Hongyung Choi
Keyword(s):  
Glioblastoma Multiforme ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Superficial Temporal Artery ◽  
Temporal Artery ◽  
Surgical Anastomosis ◽  
Content Type ◽  
Fine Print ◽  
Temporal Middle

✓ The authors report a case in which glioblastoma multiforme was intimately associated with a surgical anastomosis of the superficial temporal artery to a branch of the middle cerebral artery.

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.

Some Clinical Aspects of Superficial Temporal-Middle Cerebral Artery Bypass Surgery

Neurosurgery ◽  
1982 ◽  
Vol 29 (CN_suppl_1) ◽  
pp. 10-23 ◽  
Author(s):  
J. Garber Galbraith ◽  
Richard B. Morawetz
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Bypass Surgery ◽  
Artery Bypass ◽  
Clinical Aspects ◽  
Temporal Middle

Fatal subdural bleeding following superficial temporal-middle cerebral artery anastomosis

1980 ◽  
Vol 52 (3) ◽  
pp. 392-394 ◽  
Author(s):  
Toussaint A. Leclercq ◽  
Mary W. Ambler
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Bypass Surgery ◽  
Artery Bypass ◽  
Superficial Temporal Artery ◽  
Temporal Artery ◽  
Subdural Hemorrhage ◽  
Content Type ◽  
Subdural Bleeding ◽  
Arterial Anastomosis

✓ This report describes a sudden death during convalescence from superficial temporal artery-middle cerebral artery bypass surgery. Artificial arterial anastomosis introduces the danger of a high-pressure subdural hemorrhage in an unnatural location.

Giant aneurysms of the middle cerebral artery trifurcation treated with extracranial—intracranial arterial bypass and endovascular occlusion

1998 ◽  
Vol 89 (3) ◽  
pp. 474-478 ◽  
Author(s):  
Alain Weill ◽  
Christophe Cognard ◽  
David Levy ◽  
Gilles Robert ◽  
Jacques Moret
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Artery Bypass ◽  
Superficial Temporal Artery ◽  
Clinical Test ◽  
Vessel Occlusion ◽  
Content Type ◽  
Giant Aneurysms ◽  
Endovascular Occlusion ◽  
Fine Print

✓ Giant middle cerebral artery (MCA) trifurcation aneurysms that cannot be excluded directly can be treated by flow inversion achieved by creation of an extracranial—intracranial bypass distal to the aneurysm, followed by occlusion of the parent vessel proximal to the aneurysm. As opposed to surgical occlusion, endovascular occlusion avoids dissection of the aneurysm area, and the site of occlusion can be chosen according to the flow distribution demonstrated on angiography performed during test occlusions. Two patients with giant aneurysms of the MCA trifurcation benefited from flow inversion treatment. Forty-eight hours after an MCA—superficial temporal artery bypass had been created, the M1 segment was occluded by inserting a coil in the first patient and the internal carotid artery was occluded with balloons in the second patient (there was no communicating artery in the latter case). Both occlusions were performed immediately after a clinical test of occlusion tolerance. The patients were clinically intact during the postoperative course. Follow-up angiography performed 11 and 4 months, respectively, after vessel occlusion showed that the aneurysm occlusion was stable.

Superficial temporal-middle cerebral artery bypass: clinical pre- and postoperative angiographic correlation

1988 ◽  
Vol 69 (1) ◽  
pp. 46-51 ◽  
Author(s):  
Clifford R. Jack ◽  
Thoralf M. Sundt ◽  
Nicolee C. Fode ◽  
Dale G. Gehring
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Artery Bypass ◽  
Superficial Temporal Artery ◽  
Temporal Artery ◽  
Arterial System ◽  
Collateral Flow ◽  
Content Type ◽  
Fine Print

✓ Between 1974 and 1982, an anastomosis between a pedicle of the superficial temporal artery (STA) and a cortical branch of the middle cerebral artery (MCA) was performed in 163 carotid systems in 157 patients for internal carotid artery occlusion in whom postoperative angiograms were available for analysis. The angiographic opacification of the arterial system was correlated with the patient's preoperative neurological function and stroke in the follow-up period. From this analysis, the following observations were made: 1) 96% of bypasses were patent; 2) 80% of bypasses achieved a high or medium MCA filling score; 3) there was hypertrophy of the STA in 70% of the cases; 4) greater bypass filling occurred in hemispheres with nonvisualized preoperative collateral circulation than in those with readily visualized collateral flow; 5) a meaningful correlation between angiographically assessed postoperative bypass function and stroke rate was not possible because only four patients suffered an ipsilateral hemispheric stroke in the 8-year follow-up period; and 6) patients who were neurologically unstable before the procedure were at greatest risk for a stroke in the follow-up period. It is apparent that objective analysis of the effectiveness of an STA-MCA bypass, or any other form of extracranial bypass, must await the development of new diagnostic studies in which high-resolution three-dimensional quantification of cerebral blood flow is possible. These studies will necessarily be correlated with preoperative and follow-up clinical data.

Middle meningeal to middle cerebral arterial bypass for cerebral revascularization

1979 ◽  
Vol 50 (6) ◽  
pp. 802-804 ◽  
Author(s):  
Clinton F. Miller ◽  
Robert F. Spetzler ◽  
Dennis J. Kopaniky
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Middle Meningeal Artery ◽  
Cerebral Revascularization ◽  
Content Type ◽  
Arterial Bypass ◽  
Meningeal Artery ◽  
Fine Print

✓ A case is reported of successful anastomosis of the middle meningeal artery to a cortical branch of the middle cerebral artery. Based on the analyses of 50 random angiograms, the authors discuss the circumstances in which such an anastomosis might be practical and indicated.

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