Otani Naoki, Wada Kojiro, Sakakibara Fumihiro, Nagatani Kimihiro, Takeuchi Satoru, Tomura Satoshi, Osada Hideo, Mizokami Daisuke, Yamashita Takuji, Shiotani Akihiro, Mori Kentaro
Department of Neurosurgery, National Defense Medical College.
Neurol Med Chir (Tokyo). 2014;54(10):851-3. doi: 10.2176/nmc.cr.2013-0214. Epub 2014 Mar 27.
We herein describe a patient with symptomatic common carotid artery occlusion who underwent a reverse superficial temporal artery (STA)-middle cerebral artery (MCA) single bypass using a naturally formed "bonnet" STA. The surgical procedure was performed without difficulty, and no further neurological deterioration was observed after surgery. In practice, this case highlights that the reverse STA-MCA bypass can be achieved safely and less invasively using a naturally formed "bonnet" STA.
我们在此描述一名有症状的颈总动脉闭塞患者,其接受了使用自然形成的“帽状”颞浅动脉(STA)-大脑中动脉(MCA)单旁路手术。手术过程顺利,术后未观察到进一步的神经功能恶化。实际上,该病例表明使用自然形成的“帽状”STA可安全且微创地实现STA-MCA反向旁路手术。