title: Combined subclavian-external carotid and superficial temporal-middle cerebral artery bypass graft.
abstract: A variation of a superficial temporal-middle cerebral artery bypass is presented that can serve as a surgical alternative to long vein subclavian-middle cerebral artery grafting in patients with common carotid artery occlusion and symptoms of ipsilateral ischemia. A vein graft from the subclavian to the external carotid artery at the carotid bifurcation is performed simultaneously with a standard superficial temporal-middle cerebral artery bypass. Advantages of this procedure over a long subclavian-middle cerebral artery vein graft are the technical simplicity associated with a standard superficial temporal-middle cerebral artery bypass, higher patency rates, and lower risk of graft leakage or torsion. Three patients have undergone this procedure, and all had patent bypasses one year after operation.
mesh_terms: D000368:Aged; D002342:Carotid Artery, External / Q000601:surgery*; D002533:Cerebral Angiography; D002548:Cerebral Revascularization / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care; D011184:Postoperative Period; D013348:Subclavian Artery / Q000601:surgery*