Bypass surgery using a radial artery graft for bilateral extracranial carotid arteries occlusion

被引：0

作者：

E. Tachibana

Y. Suzuki

T. Harada

K. Saito

S. K. Gupta

J. Yoshida

机构：

[1] Department of Neurosurgery,

[2] Nagoya University School of Medicine,undefined

[3] 65 Tsurumai,undefined

[4] Showa,undefined

[5] Nagoya,undefined

[6] 466–8550,undefined

[7] Japan Tel.: +81-52-744-2353,undefined

[8] Fax: +81-52-744-2360,undefined

[9] Department of Neurosurgery,undefined

[10] Kasugai City Hospital,undefined

[11] Kasugai,undefined

[12] Japan,undefined

[13] Department of Neurosurgery,undefined

[14] Postgraduate Institute of Medical Education and Research,undefined

[15] Chandigarh,undefined

[16] India,undefined

来源：

Neurosurgical Review | 2000年 / 23卷

关键词：

Key words Bilateral carotid arteries occlusion; Bypass surgery; Cerebral infarction; Radial artery graft;

D O I：

暂无

中图分类号：

学科分类号：

摘要：

A patient presenting with recurrent ischemic attacks was demonstrated to have complete occlusion of the right common and left internal carotid arteries. An external carotid angiogram showed a large left superficial temporal artery (STA) supplying both sides of the scalp. 123I-IMP single photon emission computed tomography (SPECT) revealed hypoperfusion of the both hemispheres, especially the left cerebral hemisphere. An extracranial-intracranial (EC-IC) bypass was performed using a radial artery graft interpositioned between the proximal part of the STA and the M2 segment, thus preserving blood flow to the scalp through the STA. Postoperative angiography after 1 year showed good circulation through the anastomosis, and 123I-IMP SPECT studies demonstrated increased cerebral perfusion. The patient improved clinically. The surgical technique is described below.

引用

页码：52 / 55

页数：3