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

Mrak, Goran and Nemir, Jakob and Brgić, Klara and Barić, Hrvoje and Paladino, Josip and Stambolija, Vasilije (2018) Cerebral bypass surgery for internal carotid artery occlusion, complex supraclinoid carotid artery aneurysm, and tumors: a report of four cases. Asian Journal of Neurosurgery, 13 (3). pp. 938-942. ISSN 2248-9614

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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.

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