医学
颞浅动脉
大脑中动脉
开颅术
乙酰唑胺
灌注
脑动脉
放射科
缺血
麻醉
心脏病学
作者
Mario Zanaty,Ondřej Choutka
标识
DOI:10.1016/j.wneu.2022.09.112
摘要
Superficial temporal artery (STA)-middle cerebral artery (MCA) bypass is used to augment flow in various cases. We present a patient with a refractory right MCA transient ischemic attack and a minor stroke. He was perfusion dependent. A computed tomography perfusion with acetazolamide challenge showed hypoperfusion in the superior and inferior trunk of the MCA on the right side. We thus used the frontal and parietal branches of the STA to revascularize both territories. This was done via a small single incision and craniotomy. We present here the details of the techniques and surgical nuances (Video 1). The patient consented to the procedure and to the publication of his or her own images.
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