High-flow bypass with radial artery graft for cavernous carotid aneurysm

Abstract

Cavernous carotid aneurysms can be managed by different surgical as well as endovascular methods. The aim of treatment is to exclude the aneurysm from circulation and maintain normal cerebral blood flow. We are reporting a case of incidentally detected CCA managed by high flow bypass with radial artery graft. We discuss the surgical technique and nuances of high flow bypass surgery.

Common Carotid Artery to Middle Cerebral Artery Bypass With Radial Interposition Graft for Internal Carotid Artery (ICA) Occlusion After Stent-Coil Embolization of Giant ICA Terminus Aneurysm: 2-Dimensional Operative Video

“…1-6 Bypass techniques remain relevant in the cerebrovascular neurosurgeon's armamentarium for the treatment of complex ruptured and unruptured aneurysms that may not be amenable to or have failed endovascular treatment. 7-29 When a high-flow bypass is required for this purpose, radial artery grafts are especially effective. 30-38 We present a case of a 57-year-old woman who presented with acute left-sided hemiparesis after redo coiling of a recurrent giant right internal carotid artery terminus aneurysm that had previously undergone Atlas stent-assisted coiling.…”