Cerebral bypass surgery for internal carotid artery occlusion, complex supraclinoid carotid artery aneurysm, and tumors: A report of four cases

Author:

Mrak Goran1,Nemir Jakob1,Brgic Klara1,Baric Hrvoje1,Paladino Josip1,Stambolija Vasilije2

Affiliation:

1. Department of Neurosurgery, University Hospital Center Zagreb, School of Medicine, University of Zagreb, Zagreb

2. Department of Anesthesiology, University Hospital Center Zagreb, School of Medicine, University of Zagreb, Zagreb

Abstract

Despite growing popularity of endovascular techniques, certain subsets of patients with cerebrovascular compromise may benefit from bypass surgery. We present four cases in which pending ischemic lesion was prevented by (1) A3 resection and reanastomosis following falx meningioma removal, (2) rescue superficial temporal artery–middle cerebral artery (STA-MCA) bypass after pituitary adenoma surgery, (3) STA-MCA bypass for chronic internal carotid artery occlusion, and (4) external carotid artery-MCA bypass using radial artery grafting. Following the procedure, there were no further clinical or radiological deteriorations and long-term patency was confirmed in all four cases.

Publisher

Georg Thieme Verlag KG

Reference11 articles.

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3. Surgical treatment of inadvertent internal carotid artery lesion by the extracranial high-flow bypass.A case report and review of the literature;Tantogtip;J Neurol Surg Rep,2015

4. Extraintracranial bypass as a rescue therapy for symptomatic flow diverter thrombosis;Lanterna;Case Rep Neurol Med,2015

5. Cerebral revascularization in cranial base tumors;Kalavakonda;Neurosurg Clin N Am,2001

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