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Double-barrel STA to proximal MCA bypass and proximal parent artery occlusion for a fusiform superior clinoidal ICA aneurysm

  • How I Do it - Vascular Neurosurgery - Aneurysm
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Abstract

Background

Blood flow replacement and parent artery occlusion are alternative treatments of complex fusiform superior clinoidal ICA aneurysms. While double-barrel STA to proximal MCA bypass is a conventional approach among these reported bypass algorithms, its technical details remain underexplored.

Method

We have applied the double-barrel STA to proximal MCA bypass and parent artery occlusion to treat a 45-year-old female patient with a right fusiform superior clinoidal ICA aneurysm. The technical nuances of this approach are reported.

Conclusion

We show that double-barrel STA to proximal MCA bypass and proximal parent artery occlusion can be alternative treatments of complex fusiform superior clinoidal ICA aneurysms.

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Abbreviations

STA:

Superficial temporal artery

MCA:

Middle cerebral artery

M2, M3:

M2 or M3 segment of middle cerebral artery

A1:

A1 segment of anterior cerebral artery

ICA:

Internal carotid artery

SEP:

Somatosensory evoked potentials

MEP:

Motor evoked potentials

ICG:

Indocyanine green

CT:

Computed tomography

MRI:

Magnetic resonance imaging

DSA:

Digital subtracted angiography

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Author information

Authors and Affiliations

  1. Neurosurgery, XuanWu Hospital, Capital Medical University, 45 # Changchun Street, Xicheng District, Beijing, 100054, China

    Peng Hu, Hong-Qi Zhang & Xing-Juan Li

  2. School of Information Technology and Electrical Engineering, University of Queensland, 4067, Brisbane, Australia

    Xing-Juan Li

Authors
  1. Peng Hu
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  2. Hong-Qi Zhang
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  3. Xing-Juan Li
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Corresponding author

Correspondence to Peng Hu.

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Conflict of interest

The authors declare that Doctor Peng Hu was sponsored by National Natural Science Foundation of China (Grant number of 81500988). Otherwise, there was no any conflict of interest to be declared.

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This article is part of the Topical on Vascular Neurosurgery - Aneurysm

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Hu, P., Zhang, HQ. & Li, XJ. Double-barrel STA to proximal MCA bypass and proximal parent artery occlusion for a fusiform superior clinoidal ICA aneurysm. Acta Neurochir 160, 1939–1943 (2018). https://doi.org/10.1007/s00701-018-3652-3

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  • DOI: https://doi.org/10.1007/s00701-018-3652-3

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