Vertebral Artery to Middle Cerebral Artery Bypass for Flow
Augmentation

J 2024

Vertebral Artery to Middle Cerebral Artery Bypass for Flow Augmentation

BRAM, Richard, Zayed ALMADIDY, John SOUTER, Ivana ROŠKOVÁ, Fady T CHARBEL et. al.

Basic information

Original name

Vertebral Artery to Middle Cerebral Artery Bypass for Flow Augmentation

Authors

BRAM, Richard, Zayed ALMADIDY, John SOUTER, Ivana ROŠKOVÁ (703 Slovakia, belonging to the institution) and Fady T CHARBEL (guarantor)

Edition

Operative Neurosurgery, PHILADELPHIA, LIPPINCOTT WILLIAMS & WILKINS, 2024, 2332-4252

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30212 Surgery

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 2.300 in 2022

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1227/ons.0000000000000942

UT WoS

001156436600025

Keywords in English

Cerebral revascularization; Extracranial intracranial arterial bypass; Interpositional bypass; Vertebral artery

Abstract

V originále

Background and importance: Extracranial-intracranial bypass remains an enduring procedure for a select group of patients suffering from steno-occlusive cerebrovascular disease. Although the superficial temporal artery (STA) to middle cerebral artery (MCA) bypass is most familiar among neurosurgeons, particular circumstances preclude the use of an STA donor. In such cases, alternative revascularization strategies must be pursued. Clinical presentation: A 63-year-old female presented with symptoms of hemodynamic insufficiency and was found to have left common carotid artery occlusion at the origin. She experienced progressive watershed ischemia and pressure-dependent fluctuations in her neurological examination despite maximum medical therapy. The ipsilateral STA was unsuitable for use as a donor vessel. We performed an extracranial vertebral artery (VA) to MCA bypass with a radial artery interposition graft. Conclusion: This technical case description and accompanying surgical video review the relevant anatomy and surgical technique for a VA-MCA bypass. The patient was ultimately discharged home at her preoperative neurological baseline with patency of the bypass. The VA can serve as a useful donor vessel for cerebral revascularization procedures in pathologies ranging from malignancies of the head and neck to cerebral aneurysms and cerebrovascular steno-occlusive disease.

Citovat

BRAM, Richard, Zayed ALMADIDY, John SOUTER, Ivana ROŠKOVÁ and Fady T CHARBEL. Vertebral Artery to Middle Cerebral Artery Bypass for Flow Augmentation. Operative Neurosurgery. PHILADELPHIA: LIPPINCOTT WILLIAMS & WILKINS, 2024, vol. 26, No 2, p. 222-225. ISSN 2332-4252. Available from: https://dx.doi.org/10.1227/ons.0000000000000942.

@article{2332058,
   author = {Bram, Richard and Almadidy, Zayed and Souter, John and Rošková, Ivana and Charbel, Fady T},
   article_location = {PHILADELPHIA},
   article_number = {2},
   doi = {http://dx.doi.org/10.1227/ons.0000000000000942},
   keywords = {Cerebral revascularization; Extracranial intracranial arterial bypass; Interpositional bypass; Vertebral artery},
   language = {eng},
   issn = {2332-4252},
   journal = {Operative Neurosurgery},
   title = {Vertebral Artery to Middle Cerebral Artery Bypass for Flow Augmentation},
   url = {https://journals.lww.com/onsonline/fulltext/9900/vertebral_artery_to_middle_cerebral_artery_bypass.932.aspx},
   volume = {26},
   year = {2024}
}

TY  - JOUR
ID  - 2332058
AU  - Bram, Richard - Almadidy, Zayed - Souter, John - Rošková, Ivana - Charbel, Fady T
PY  - 2024
TI  - Vertebral Artery to Middle Cerebral Artery Bypass for Flow Augmentation
JF  - Operative Neurosurgery
VL  - 26
IS  - 2
SP  - 222-225
EP  - 222-225
PB  - LIPPINCOTT WILLIAMS & WILKINS
SN  - 23324252
KW  - Cerebral revascularization
KW  - Extracranial intracranial arterial bypass
KW  - Interpositional bypass
KW  - Vertebral artery
UR  - https://journals.lww.com/onsonline/fulltext/9900/vertebral_artery_to_middle_cerebral_artery_bypass.932.aspx
N2  - Background and importance: Extracranial-intracranial bypass remains an enduring procedure for a select group of patients suffering from steno-occlusive cerebrovascular disease. Although the superficial temporal artery (STA) to middle cerebral artery (MCA) bypass is most familiar among neurosurgeons, particular circumstances preclude the use of an STA donor. In such cases, alternative revascularization strategies must be pursued. Clinical presentation: A 63-year-old female presented with symptoms of hemodynamic insufficiency and was found to have left common carotid artery occlusion at the origin. She experienced progressive watershed ischemia and pressure-dependent fluctuations in her neurological examination despite maximum medical therapy. The ipsilateral STA was unsuitable for use as a donor vessel. We performed an extracranial vertebral artery (VA) to MCA bypass with a radial artery interposition graft. Conclusion: This technical case description and accompanying surgical video review the relevant anatomy and surgical technique for a VA-MCA bypass. The patient was ultimately discharged home at her preoperative neurological baseline with patency of the bypass. The VA can serve as a useful donor vessel for cerebral revascularization procedures in pathologies ranging from malignancies of the head and neck to cerebral aneurysms and cerebrovascular steno-occlusive disease.
ER  -

BRAM, Richard, Zayed ALMADIDY, John SOUTER, Ivana ROŠKOVÁ and Fady T CHARBEL. Vertebral Artery to Middle Cerebral Artery Bypass for Flow Augmentation. \textit{Operative Neurosurgery}. PHILADELPHIA: LIPPINCOTT WILLIAMS \&{} WILKINS, 2024, vol.~26, No~2, p.~222-225. ISSN~2332-4252. Available from: https://dx.doi.org/10.1227/ons.0000000000000942.

Detailed Information on Publication Record