1. Staged Common and External Carotid Artery Stenting Followed by Superficial Temporal Artery to Middle Cerebral Artery Bypass.
- Author
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Mulcahy M, Presti AL, Veken JPV, Steinfort B, and Assaad N
- Subjects
- Humans, Carotid Artery, Common surgery, Carotid Artery, Internal surgery, Treatment Outcome, Carotid Artery, External surgery, Carotid Artery, External diagnostic imaging, Carotid Stenosis surgery, Carotid Stenosis diagnostic imaging, Cerebral Revascularization methods, Middle Cerebral Artery surgery, Middle Cerebral Artery diagnostic imaging, Stents, Temporal Arteries surgery
- Abstract
Superficial temporal artery (STA) to middle cerebral artery (MCA) bypass surgery for internal carotid artery (ICA) occlusive disease necessarily requires sufficient external carotid artery (ECA) blood flow. Surgical bypass is therefore precluded if there is common carotid artery (CCA) occlusion. Here we present two such cases: one patient had a CCA occlusion and the other had an ICA occlusion and ECA stenosis. Both had failed medical management, and were therefore treated with angioplasty and stenting of the ECA, followed by STA-MCA bypass. We describe the clinical and radiologic outcomes of these cases, and remark on the potential pitfalls associated with this novel approach., Competing Interests: None declared., (Thieme. All rights reserved.)
- Published
- 2024
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