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STA-ACA bypass using the ipsilateral free STA graft as an interposition graft and A3-A3 anastomosis for treatment of bilateral ACA steno-occlusive ischemia

  • Technical Note - Neurosurgical Techniques
  • Published:
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Abstract

Background

Anterior cerebral artery (ACA)-related ischemia is a rare entity in patients with atherosclerosis. Some surgical treatments are reported to date.

Method

We present the modification of intracranial-intracranial and intracranial-extracranial bypasses for symptomatic bilateral ACA steno-occlusive disease. The A3-A3 bypass followed by the superficial temporal artery-ACA bypass using the ipsilateral free superficial temporal artery graft is useful without harvesting of the radial artery.

Conclusion

Bilateral ACA steno-occlusive induced ischemia can be treated with tailored bypass procedures.

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Authors and Affiliations

  1. Department of Neurosurgery, Shinshu University School of Medicine, Asahi 3-1-1, Matsumoto, 390-8621, Japan

    Tetsuyoshi Horiuchi, Shunsuke Ichinose, Masahiro Agata, Kiyoshi Ito & Kazuhiro Hongo

Authors
  1. Tetsuyoshi Horiuchi
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  2. Shunsuke Ichinose
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  3. Masahiro Agata
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  4. Kiyoshi Ito
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  5. Kazuhiro Hongo
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Corresponding author

Correspondence to Tetsuyoshi Horiuchi.

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Conflicts of interest

The authors declare that they have no conflict of interest.

Ethics approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Horiuchi, T., Ichinose, S., Agata, M. et al. STA-ACA bypass using the ipsilateral free STA graft as an interposition graft and A3-A3 anastomosis for treatment of bilateral ACA steno-occlusive ischemia. Acta Neurochir 160, 779–782 (2018). https://doi.org/10.1007/s00701-018-3464-5

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  • DOI: https://doi.org/10.1007/s00701-018-3464-5

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