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.
case_series · Level IV
Where this comes from
- Record sourced from PubMed, PMID 29349672.
- Also identified by DOI 10.1007/s00701-018-3464-5.
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Abstract
Anterior cerebral artery (ACA)-related ischemia is a rare entity in patients with atherosclerosis. Some surgical treatments are reported to date. 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. Bilateral ACA steno-occlusive induced ischemia can be treated with tailored bypass procedures.
Medical subject headings
- Anastomosis, Surgical
- Anterior Cerebral Artery
- Cerebral Revascularization
- Postoperative Complications
- Temporal Arteries