Superficial-Temporal-Artery-To-Middle-Cerebral-Artery Bypass in Cerebrovascular Occlusive Disease and Hemodynamic-Related Ischemia: Illustrative Case and Literature Review
Arq. bras. neurocir
;
40(2): 130-136, 15/06/2021.
Article
in English
| LILACS
| ID: biblio-1362199
ABSTRACT
Stroke is the third most common cause of death worldwide. About 10% to 15% of strokes related to the territory of the carotid artery are associated with its complete occlusion. There is an important subgroup of patients with cerebrovascular occlusive diseases who might benefit from an external-carotid-to-internal-carotid bypass. In the present study, we report a case of a 53-year-old male patient with stenosis of the M2 branch of themiddle cerebral artery (MCA), with a history of 20 episodes of transient ischemic accidents (TIA)s, in whom an anastomosis of the M4 branch of the superficial temporal artery-MCA was performed. The patient was discharged in three days, and in the two years of follow-up, they were no more TIAs.We also conducted a review of the literature on cerebrovascular occlusive disease and extracranial-intracranial bypass surgery. New methods to evaluate cerebral hemodynamics made it possible to classify a new subgroup of patients with symptomatic cerebrovascular disease and documented cerebrovascular compromise in whom the drug therapy fails, who can benefit from the extracranial-intracranial bypass. Our case report illustrates the advantages of revascularization in these selected patients.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Temporal Arteries
/
Cerebral Revascularization
/
Middle Cerebral Artery
/
Ischemic Stroke
Limits:
Humans
/
Male
Language:
English
Journal:
Arq. bras. neurocir
Journal subject:
Cirurgia
/
Neurosurgery
Year:
2021
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Department of Neurological Surgery, Faculdade de Medicina, Universidade de São Paulo/BR
/
Department of Neurosurgery, The Center for Advanced Neurology and Neurosurgery (CEANNE)/BR
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