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.

Základní údaje

Originální název

Vertebral Artery to Middle Cerebral Artery Bypass for Flow Augmentation

Autoři

BRAM, Richard, Zayed ALMADIDY, John SOUTER, Ivana ROŠKOVÁ (703 Slovensko, domácí) a Fady T CHARBEL (garant)

Vydání

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

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30212 Surgery

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 2.300 v roce 2022

Organizační jednotka

Lékařská fakulta

UT WoS

001156436600025

Klíčová slova anglicky

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

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 10. 6. 2024 10:13, Mgr. Tereza Miškechová

Anotace

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.