Cho Byung-Rae, Jang Dong-Kyu, Kim Dong-Sub, Han Young-Min
Department of Neurosurgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 56, Dongsu-ro, Bupyeong-gu, Incheon, 21431, Republic of Korea.
Department of Neurosurgery, Naeun Hospital, 23, Wonjeok-ro, Seo-gu, Incheon, 22819, Republic of Korea.
Acta Neurochir (Wien). 2023 Mar;165(3):631-636. doi: 10.1007/s00701-023-05499-5. Epub 2023 Jan 16.
EC-IC bypasses have been performed to treat complex aneurysms or moyamoya disease or atherosclerotic steno-occlusive disease. We report the three cases that underwent EC-IC revascularization of the IMA-M2 bypass using the radial artery graft concurrently after the STA-MCA anastomosis to prevent potential ischemic damage during the operation and augment more flow in terminal internal carotid artery stenosis. All patients experienced neither perioperative complications nor further events for a 3-month follow-up. The double-barreled IMA-M2 and STA-MCA bypass is a good option for substantial amount of EC-IC revascularization with minimizing ischemic injury and maximizing flow amount in patients with severe hemodynamic compromise.
已进行颅外-颅内血管搭桥术来治疗复杂动脉瘤、烟雾病或动脉粥样硬化性狭窄闭塞性疾病。我们报告了3例在颞浅动脉-大脑中动脉吻合术后，同时使用桡动脉移植物进行IMA-M2搭桥的颅外-颅内血管重建术的病例，以预防手术期间潜在的缺血性损伤，并增加颈内动脉终末段狭窄时的血流量。所有患者在3个月的随访中均未出现围手术期并发症或其他事件。双管IMA-M2和STA-MCA搭桥术是一种很好的选择，可在严重血流动力学受损的患者中，最大限度地减少缺血性损伤并增加血流量，从而进行大量的颅外-颅内血管重建。
