How we do it? Performing a protective superficial temporal artery-middle cerebral artery bypass with endoscopic transnasal cavernous sinus lesion operation

被引：1
作者：
Wang, Zhicheng [1 ,2 ]
Jiang, Changzhen [1 ,2 ]
Yang, Zixiao [3 ,4 ,5 ,6 ,7 ,8 ]
Song, Jianping [3 ,4 ,5 ,6 ,7 ,8 ,9 ]
机构：
[1] Fujian Med Univ, Affiliated Hosp 1, Dept Neurosurg, Fuzhou 350004, Fujian, Peoples R China
[2] Fujian Med Univ, Affiliated Hosp 1, Natl Reg Med Ctr, Dept Neurosurg, Binhai Campus, Fuzhou 350209, Fujian, Peoples R China
[3] Fudan Univ, Huashan Hosp, Dept Neurosurg, Shanghai 200040, Peoples R China
[4] Natl Ctr Neurol Disorders, Shanghai 200040, Peoples R China
[5] Fudan Univ, Neurosurg Inst, Shanghai 200040, Peoples R China
[6] Shanghai Clin Med Ctr Neurosurg, Shanghai 200040, Peoples R China
[7] Shanghai Key Lab Brain Funct Restorat & Neural Reg, Shanghai 200040, Peoples R China
[8] Chinese Acad Med Sci CAMS, Res Unit New Technol Microendoscopy Combinat Skull, Shanghai 200040, Peoples R China
[9] Fudan Univ, Huashan Hosp, Natl Reg Med Ctr, Dept Neurosurg, Fujian Campus, Fuzhou 350209, Fujian, Peoples R China
来源：
ACTA NEUROCHIRURGICA | 2023年 / 165卷 / 12期
基金：
中国国家自然科学基金;
关键词：
Bypass surgery; Cavernous sinus; Middle cerebral artery; Superficial temporal artery; REVASCULARIZATION; ANEURYSMS; SURGERY;
D O I：
10.1007/s00701-023-05657-9
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
BackgroundTo describe the concept of a protective superficial temporal artery-middle cerebral artery (STA-MCA) bypass performed prior to endoscopic transnasal cavernous sinus (CS) lesion resection in order to reduce the risk of perioperative cerebral ischemia due to internal carotid artery (ICA) vasospasm, occlusion, and even injury.MethodWe illustrated the procedure of a 14-year-old female accepting a protective STA-MCA bypass with endoscopic transnasal CS lesion resection.ConclusionA protective bypass may be a prophylactic strategy in selected endoscopic transnasal CS surgery cases, particularly where the diagnosis is uncertain, or the risk of ICA injury or occlusion is high.
引用
收藏
页码：3729 / 3735
页数：7
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