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Published in: Acta Neurochirurgica 4/2018

01-04-2018 | Technical Note - Neurosurgical Techniques

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

Authors: Tetsuyoshi Horiuchi, Shunsuke Ichinose, Masahiro Agata, Kiyoshi Ito, Kazuhiro Hongo

Published in: Acta Neurochirurgica | Issue 4/2018

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Abstract

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.
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Metadata
Title
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
Authors
Tetsuyoshi Horiuchi
Shunsuke Ichinose
Masahiro Agata
Kiyoshi Ito
Kazuhiro Hongo
Publication date
01-04-2018
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 4/2018
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-018-3464-5

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