STA-ACA bypass using the ipsilateral free STA graft as an interposition graft and A3-A3 anastomosis for treatment of bilateral ACA steno-occlusive ischemia

Tetsuyoshi Horiuchi; Shunsuke Ichinose; Masahiro Agata; Kiyoshi Ito; Kazuhiro Hongo

doi:10.1007/s00701-018-3464-5

STA-ACA bypass using the ipsilateral free STA graft as an interposition graft and A3-A3 anastomosis for treatment of bilateral ACA steno-occlusive ischemia

Acta Neurochir (Wien). 2018 Apr;160(4):779-782. doi: 10.1007/s00701-018-3464-5. Epub 2018 Jan 18.

Authors

Tetsuyoshi Horiuchi¹, Shunsuke Ichinose², Masahiro Agata², Kiyoshi Ito², Kazuhiro Hongo²

Affiliations

¹ Department of Neurosurgery, Shinshu University School of Medicine, Asahi 3-1-1, Matsumoto, 390-8621, Japan. tetuyosi@shinshu-u.ac.jp.
² Department of Neurosurgery, Shinshu University School of Medicine, Asahi 3-1-1, Matsumoto, 390-8621, Japan.

PMID: 29349672
DOI: 10.1007/s00701-018-3464-5

Abstract

Background: Anterior cerebral artery (ACA)-related ischemia is a rare entity in patients with atherosclerosis. Some surgical treatments are reported to date.

Method: We present the modification of intracranial-intracranial and intracranial-extracranial bypasses for symptomatic bilateral ACA steno-occlusive disease. The A3-A3 bypass followed by the superficial temporal artery-ACA bypass using the ipsilateral free superficial temporal artery graft is useful without harvesting of the radial artery.

Conclusion: Bilateral ACA steno-occlusive induced ischemia can be treated with tailored bypass procedures.

Keywords: Anterior cerebral artery; Bypass; Complication; Ischemia.

MeSH terms

Anastomosis, Surgical / adverse effects
Anastomosis, Surgical / methods*
Anterior Cerebral Artery / surgery*
Cerebral Revascularization / adverse effects
Cerebral Revascularization / methods*
Female
Humans
Male
Middle Aged
Postoperative Complications / epidemiology*
Postoperative Complications / etiology
Temporal Arteries / surgery*