Salvage techniques for STA-MCA bypass.
Superficial temporal artery-to-middle cerebral artery (STA-MCA) bypass is a well-established, indispensable neurosurgical procedure. It is technically challenging, and surgeons must be prepared for unexpected problems. The present report describes four cases where problems arose that resulted in graft occlusion. None of these problems was directly related to the anastomosis procedure, and they occurred from early in the operation (e.g., STA preparation) to late (e.g., skin closure). In all cases, the salvage procedures used were successful, and postoperative angiography demonstrated good bypass patency.
Jang
In Seok
IS
Department of Neurological Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Ahn
Jae Sung
JS
Kwon
Do Hoon
DH
Kwun
Byung Duk
BD
Lee
Jung Kyo
JK
D002548:Cerebral Revascularization / Q000379:methods*; D002561:Cerebrovascular Disorders / Q000601:surgery*; D006801:Humans; D008297:Male; D020768:Middle Cerebral Artery / Q000601:surgery*; D013699:Temporal Arteries / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D055815:Young Adult