Abstract
The various surgical approaches to the cerebral arteries are extensively presented in this chapter. The anatomical description, the clinical and surgical relevance are particularly underscored and richly illustrated. In the general framework of the superior aortic system, the cerebral arteries may represent either donor or target vessels requiring a particular attention in both circumstances, as numerous surgical, endovascular or combined procedures ask for a thorough knowledge of the complex anatomical regions at cervical and cranial level. The currently deployed surgical exposures are presented serving as a useful guide for surgeons, interventionalists and neurologists. Not least, particular, less-used or even unparalleled approaches are additionally described. The indications, limits and possible complications of each approach, readily emerge.
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References
Tulley P, Webb A, Chana JS, Tan ST, Hudson D, Grobbelaar AO, Harrison DH. Paralysis of the marginal mandibular branch of the facial nerve: treatment options. Br J Plast Surg. 2000;53(5):378–85.
Mock CN, Lilly MP, McRae RG, Carney Jr WI. Selection of the approach to the distal internal carotid artery from the second cervical vertebra to the base of the skull. J Vasc Surg. 1991;13(6):846–53.
Shaha A, Phillips T, Scalea T, Golueke P, McGinn J, Sclafani S, Hoover E, Jaffe BM. Exposure of the internal carotid artery near the skull base: the posterolateral anatomic approach. J Vasc Surg. 1988;8(5):618–22.
Kieffer E, Praquin B, Chiche L, Koskas F, Bahnini AJ. Distal vertebral artery reconstruction: long-term outcome. Vasc Surg. 2002;36(3):549–54.
Berguer R. Suboccipital approach to the distal vertebral artery. J Vasc Surg. 1999;30:344–9.
Wind GG, Valentine JR. Chapter 3: Thoracic aorta. In: Wind GG, Valentine JR, editors. Anatomic exposures in vascular surgery. 3rd ed. Lippincott Williams and Wilkins a Wolters Kluwer Business; Philadelphia, Baltimore, New York, London, Buenos Aires, Hong Kong, Sydney, Tokyo. 2013, p. 79–111.
Cunningham EJ, Bond R, Mayberg MR, Warlow CP, Rothwell PM. Risk of persistent cranial nerve injury after carotid endarterectomy. J Neurosurg. 2004;101(3):445–8.
Rechtweg J, Wax MK, Granke K, Jarmuz T. Neck dissection with simultaneous carotid endarterectomy. Laryngoscope. 1998;108:1150–3.
Rosenbloom M, Friedman SG, Lamparello PJ, Riles TS, Imparato AM. Glossopharyngeal nerve injury complicating carotid endarterectomy. J Vasc Surg. 1987;5(3):469–71.
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Muresian, H. (2016). Surgical Approaches for Cerebrovascular Revascularization. In: Muresian, H. (eds) Arterial Revascularization of the Head and Neck. Springer, Cham. https://doi.org/10.1007/978-3-319-34193-4_4
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DOI: https://doi.org/10.1007/978-3-319-34193-4_4
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