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Published in: Acta Neurochirurgica 10/2018

01-10-2018 | How I Do it - Vascular Neurosurgery - Aneurysm

Double-barrel STA to proximal MCA bypass and proximal parent artery occlusion for a fusiform superior clinoidal ICA aneurysm

Authors: Peng Hu, Hong-Qi Zhang, Xing-Juan Li

Published in: Acta Neurochirurgica | Issue 10/2018

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Abstract

Background

Blood flow replacement and parent artery occlusion are alternative treatments of complex fusiform superior clinoidal ICA aneurysms. While double-barrel STA to proximal MCA bypass is a conventional approach among these reported bypass algorithms, its technical details remain underexplored.

Method

We have applied the double-barrel STA to proximal MCA bypass and parent artery occlusion to treat a 45-year-old female patient with a right fusiform superior clinoidal ICA aneurysm. The technical nuances of this approach are reported.

Conclusion

We show that double-barrel STA to proximal MCA bypass and proximal parent artery occlusion can be alternative treatments of complex fusiform superior clinoidal ICA aneurysms.
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Literature
1.
go back to reference Abruzzo T, Joseph GJ, Owens DS, Dawson RC 3rd, Reid J, Barrow DL (2000) Prevention of complications resulting from endovascular carotid sacrifice: a retrospective assessment. Neurosurgery 46:910–916 discussion 916-917PubMed Abruzzo T, Joseph GJ, Owens DS, Dawson RC 3rd, Reid J, Barrow DL (2000) Prevention of complications resulting from endovascular carotid sacrifice: a retrospective assessment. Neurosurgery 46:910–916 discussion 916-917PubMed
2.
go back to reference Hu P, Liang J, Bao Y, Li M, Ling F (2014) The pterional transsylvian transtentorial approach to ventrolateral pontine cavernomas: indications and techniques. World Neurosurg 82:1276–1282CrossRefPubMed Hu P, Liang J, Bao Y, Li M, Ling F (2014) The pterional transsylvian transtentorial approach to ventrolateral pontine cavernomas: indications and techniques. World Neurosurg 82:1276–1282CrossRefPubMed
3.
go back to reference Marano SR, Fischer DW, Gaines C, Sonntag VK (1985) Anatomical study of the superficial temporal artery. Neurosurgery 16:786–790CrossRefPubMed Marano SR, Fischer DW, Gaines C, Sonntag VK (1985) Anatomical study of the superficial temporal artery. Neurosurgery 16:786–790CrossRefPubMed
4.
go back to reference Pinar YA, Govsa F (2006) Anatomy of the superficial temporal artery and its branches: its importance for surgery. Surg Radiol Anat 28:248–253CrossRefPubMed Pinar YA, Govsa F (2006) Anatomy of the superficial temporal artery and its branches: its importance for surgery. Surg Radiol Anat 28:248–253CrossRefPubMed
5.
go back to reference Rustemi O, Amin-Hanjani S, Shakur SF, Du X, Charbel FT (2016) Donor selection in flow replacement bypass surgery for cerebral aneurysms: quantitative analysis of long-term native donor flow sufficiency. Neurosurgery 78:332–341 discussion 341-332CrossRefPubMed Rustemi O, Amin-Hanjani S, Shakur SF, Du X, Charbel FT (2016) Donor selection in flow replacement bypass surgery for cerebral aneurysms: quantitative analysis of long-term native donor flow sufficiency. Neurosurgery 78:332–341 discussion 341-332CrossRefPubMed
6.
go back to reference Safavi-Abbasi S, Kalani MYS, Frock B, Sun H, Yagmurlu K, Moron F, Snyder LA, Hlubek RJ, Zabramski JM, Nakaji P, Spetzler RF (2017) Techniques and outcomes of microsurgical management of ruptured and unruptured fusiform cerebral aneurysms. J Neurosurg 127:1353–1360CrossRefPubMed Safavi-Abbasi S, Kalani MYS, Frock B, Sun H, Yagmurlu K, Moron F, Snyder LA, Hlubek RJ, Zabramski JM, Nakaji P, Spetzler RF (2017) Techniques and outcomes of microsurgical management of ruptured and unruptured fusiform cerebral aneurysms. J Neurosurg 127:1353–1360CrossRefPubMed
7.
go back to reference Sekhar LN, Natarajan SK, Ellenbogen RG, Ghodke B (2008) Cerebral revascularization for ischemia, aneurysms, and cranial base tumors. Neurosurgery 62:1373–1408 discussion 1408-1310CrossRefPubMed Sekhar LN, Natarajan SK, Ellenbogen RG, Ghodke B (2008) Cerebral revascularization for ischemia, aneurysms, and cranial base tumors. Neurosurgery 62:1373–1408 discussion 1408-1310CrossRefPubMed
Metadata
Title
Double-barrel STA to proximal MCA bypass and proximal parent artery occlusion for a fusiform superior clinoidal ICA aneurysm
Authors
Peng Hu
Hong-Qi Zhang
Xing-Juan Li
Publication date
01-10-2018
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 10/2018
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-018-3652-3

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