STA-ACA bypass using the ipsilateral free STA graft as an interposition graft and A3-A3 anastomosis for treatment of bilateral ACA steno-occlusive ischemia

STA-ACA bypass using the ipsilateral free STA graft as an interposition graft and A3-A3 anastomosis for treatment of bilateral ACA steno-occlusive ischemia

Background Anterior cerebral artery (ACA)-related ischemia is a rare entity in patients with atherosclerosis. Some surgical treatments are reported to date. Method We present the modification of intracranial-intracranial and intracranial-extracranial bypasses for symptomatic bilateral ACA steno-occl...

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Veröffentlicht in:Acta neurochirurgica 2018-04, Vol.160 (4), p.779-782
Hauptverfasser: Horiuchi, Tetsuyoshi, Ichinose, Shunsuke, Agata, Masahiro, Ito, Kiyoshi, Hongo, Kazuhiro
Format: Artikel
Sprache:eng
Schlagworte:
Anastomosis
Aneurysms
Arteriosclerosis
Grafting
Interventional Radiology
Ischemia
Medicine
Medicine & Public Health
Minimally Invasive Surgery
Neurology
Neuroradiology
Neurosurgery
Surgical Orthopedics
Technical Note - Neurosurgical Techniques
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Zusammenfassung:Background Anterior cerebral artery (ACA)-related ischemia is a rare entity in patients with atherosclerosis. Some surgical treatments are reported to date. Method We present the modification of intracranial-intracranial and intracranial-extracranial bypasses for symptomatic bilateral ACA steno-occlusive disease. The A3-A3 bypass followed by the superficial temporal artery-ACA bypass using the ipsilateral free superficial temporal artery graft is useful without harvesting of the radial artery. Conclusion Bilateral ACA steno-occlusive induced ischemia can be treated with tailored bypass procedures.
ISSN:0001-6268
0942-0940
DOI:10.1007/s00701-018-3464-5