Vertebral Artery to Middle Cerebral Artery Bypass for Flow Augmentation
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F65269705%3A_____%2F24%3A00078422" target="_blank" >RIV/65269705:_____/24:00078422 - isvavai.cz</a>
Alternative codes found
RIV/00216224:14110/24:00135234
Result on the web
<a href="https://journals.lww.com/onsonline/abstract/9900/vertebral_artery_to_middle_cerebral_artery_bypass.932.aspx" target="_blank" >https://journals.lww.com/onsonline/abstract/9900/vertebral_artery_to_middle_cerebral_artery_bypass.932.aspx</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1227/ons.0000000000000942" target="_blank" >10.1227/ons.0000000000000942</a>
Alternative languages
Result language
angličtina
Original language name
Vertebral Artery to Middle Cerebral Artery Bypass for Flow Augmentation
Original language description
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 ofan 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 pressuredependent 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.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30212 - Surgery
Result continuities
Project
—
Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2024
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Operative Neurosurgery
ISSN
2332-4252
e-ISSN
2332-4260
Volume of the periodical
26
Issue of the periodical within the volume
2
Country of publishing house
US - UNITED STATES
Number of pages
4
Pages from-to
222-225
UT code for WoS article
001156436600025
EID of the result in the Scopus database
2-s2.0-85182734198