Complex Internal Carotid Aneurysms Treated by Superficial Temporal Artery Trunk–Radial Artery–Middle Cerebral Artery Bypass Combined with Balloon Occlusion of Internal Carotid Artery

Chen, Chuan; Li, Zhangyu; Gao, Qun; Ling, Cong; Li, Hao; Wang, Hui

doi:10.1016/j.wneu.2019.08.174

Cited by 5 publications

(3 citation statements)

References 7 publications

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“…This method is safe, effective, easy to operate, and can reduce the probability of cerebral infarction. 9 Sacrificing the internal carotid artery combined with highflow intracranial-extracranial bypass is an operation that sacrifices the parent artery and forms a circulation between the intracranial and extracranial vessels. Direct clipping for the treatment of complex large cavernous sinus aneurysms is very difficult.…”

Section: Discussionmentioning

confidence: 99%

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Sacrificing Internal Carotid Artery-External Carotid Artery-Radial Artery-Middle Cerebral Artery Bypass for the Treatment of Complex Intracranial Artery Cavernous Sinus Aneurysms

Chu,

Song,

Zhang

et al. 2024

Journal of Craniofacial Surgery

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The treatment of complex intracranial aneurysms has always been a great challenge in neurosurgery. Craniotomy has a high risk of clipping, there is a risk of rupture at any time, endovascular embolization is relatively low risk, but expensive and easy to relapse, the best treatment needs to be further discussed. Cavernous sinus aneurysms with pituitary adenomas are rare. This case reports a case of complex intracranial aneurysms. Chief complaints are: (1) blepharoptosis with blurred vision for 1 year, (2) headache for 3 days, and (3) digital subtraction angiography showed right internal carotid artery cavernous sinus aneurysm. Combined with the patient’s condition and family condition, the external carotid artery-radial artery-middle cerebral artery bypass was selected. After surgical treatment, the symptoms of the patients were improved, the postoperative recovery was good, and the condition was stable. After follow-up, the patient’s brain computed tomography showed intra-aneurysm thrombosis.

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Section: Discussionmentioning

confidence: 99%

“…After comprehensive consideration, we decided to sacrifice the internal carotid artery combined with a high-flow extracranial-intracranial bypass, which is rare in the clinic. This method is safe, effective, easy to operate, and can reduce the probability of cerebral infarction 9 …”

Section: Discussionmentioning

confidence: 99%

Sacrificing Internal Carotid Artery-External Carotid Artery-Radial Artery-Middle Cerebral Artery Bypass for the Treatment of Complex Intracranial Artery Cavernous Sinus Aneurysms

Chu,

Song,

Zhang

et al. 2024

Journal of Craniofacial Surgery

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“…A noteworthy problem is that there are reportedly up to 20% of patients tolerating BTO who developed cerebral infarction after permanent occlusion of the parent artery, whereas some patients failing BTO had no symptoms. 1,21,22 Its alternative middle cerebral artery pressure after clamping (cMCAP) had been put forward for accurate evaluation. 20 However, this approach has not been widely used until now because of its complexity.…”

Section: Complex Intracranial Aneurysms In Icamentioning

confidence: 99%

Combined Double-Barrel Superficial Temporal Artery to M4 Bypass and Parent Artery Occlusion for the Treatment of Complex Intracranial Aneurysms in Internal Carotid Artery and Middle Cerebral Artery: A Retrospective Case Series

Ling

et al. 2023

Operative Neurosurgery

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BACKGROUND: Very little research has been conducted to assess the efficacy of combined double-barrel superficial temporal artery (STA) to M4 bypass and parent artery occlusion (PAO) in the treatment of complex intracranial aneurysms. OBJECTIVE: To determine whether this operation could become a reasonable flow replacement therapy and have longer-term benefits. METHODS: A series of double-barrel STA-M4 bypasses performed between 2016 and 2021 were reviewed. Preoperative digital subtraction angiography (DSA), computed tomography angiography (CTA), computed tomography perfusion (CTP), and balloon test occlusion were routinely performed for a thorough evaluation of individual benefits and risks. After bypass, the proximal end of the parent artery was permanently occluded with the coil. Augmentation and patency of STA were reassessed by postoperative DSA, CTA, and CTP. The blood flow volume of STA was measured by ultrasound at admission and a 3-month follow-up. RESULTS: This study included 12 consecutive patients (5 males, 7 females) who successfully underwent double-barrel STA-M4 bypass, including 8 complex aneurysms in the internal carotid artery (ICA) and 4 in the middle cerebral artery (MCA). Postoperative angiography and CTP suggested that all the STAs were patent, and there was a significant improvement in perfusion after the operation (P < .05). Ultrasonic measurement at the 3-month follow-up showed that the blood flow provided by STA was 76.3 to 190.5 mL/min. Postoperative ischemia was found in 1 patient, but she recovered after treatment. CONCLUSION: Double-barrel STA to M4 bypass can provide adequate flow for the parent artery area, which may be a reasonable flow replacement therapy for some complex intracranial aneurysms in ICA and MCA.

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Superficial Temporal Artery–Posterior Cerebral Artery Bypass for the Treatment of Chronic Basilar Artery Occlusion

Chen

et al. 2021

World Neurosurgery

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Complex Internal Carotid Aneurysms Treated by Superficial Temporal Artery Trunk–Radial Artery–Middle Cerebral Artery Bypass Combined with Balloon Occlusion of Internal Carotid Artery

Cited by 5 publications

References 7 publications

Sacrificing Internal Carotid Artery-External Carotid Artery-Radial Artery-Middle Cerebral Artery Bypass for the Treatment of Complex Intracranial Artery Cavernous Sinus Aneurysms

Sacrificing Internal Carotid Artery-External Carotid Artery-Radial Artery-Middle Cerebral Artery Bypass for the Treatment of Complex Intracranial Artery Cavernous Sinus Aneurysms

Combined Double-Barrel Superficial Temporal Artery to M4 Bypass and Parent Artery Occlusion for the Treatment of Complex Intracranial Aneurysms in Internal Carotid Artery and Middle Cerebral Artery: A Retrospective Case Series

Superficial Temporal Artery–Posterior Cerebral Artery Bypass for the Treatment of Chronic Basilar Artery Occlusion

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