Yağmurlu Kaan, Kalani M Yashar S, Chaddad-Neto Feres, Cevik Orhun Mete, Bozkurt Baran, Belykh Evgenii, Doria-Netto Hugo Leonardo, Grande Andrew W, Preul Mark C, Spetzler Robert F
Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ, United States.
Department of Neurosurgery, University of Utah School of Medicine, Salt Lake City, UT, United States.
J Clin Neurosci. 2018 Jan;47:337-340. doi: 10.1016/j.jocn.2017.10.047. Epub 2017 Oct 27.
We describe a novel intracranial-to-intracranial bypass technique between the anterior temporal artery and the posterior cerebral artery for revascularization of the posterior circulation. Four formalin-fixed human heads were examined to demonstrate the detailed anatomy of the middle cerebral artery and the posterior cerebral artery, and to illustrate the step-by-step bypass procedure. The anterior temporal artery, a branch of the middle cerebral artery, can be anastomosed to the P2 segment of the posterior cerebral artery as an alternative to extracranial bypass donor segments for treatment of complex aneurysms requiring revascularization. The anastomosis of the anterior temporal artery as a pedicled donor to the posterior cerebral artery provides a shorter graft, due to its close anatomical position to the posterior cerebral artery, for posterior circulation revascularization.
我们描述了一种用于后循环血运重建的新型颞前动脉与大脑后动脉之间的颅内-颅内搭桥技术。对四个福尔马林固定的人头进行了检查，以展示大脑中动脉和大脑后动脉的详细解剖结构，并说明逐步的搭桥手术过程。颞前动脉是大脑中动脉的一个分支，可与大脑后动脉的P2段进行吻合，作为颅外搭桥供体段的替代方法，用于治疗需要血运重建的复杂动脉瘤。由于颞前动脉作为带蒂供体与大脑后动脉的解剖位置接近，将其与大脑后动脉进行吻合可为后循环血运重建提供更短的移植物。
