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CC BY-NC-ND 4.0 · Asian J Neurosurg 2018; 13(03): 938-942
DOI: 10.4103/ajns.AJNS_26_18
Case Report

Cerebral bypass surgery for internal carotid artery occlusion, complex supraclinoid carotid artery aneurysm, and tumors: A report of four cases

Goran Mrak
Department of Neurosurgery, University Hospital Center Zagreb, School of Medicine, University of Zagreb, Zagreb
,
Jakob Nemir
Department of Neurosurgery, University Hospital Center Zagreb, School of Medicine, University of Zagreb, Zagreb
,
Klara Brgic
Department of Neurosurgery, University Hospital Center Zagreb, School of Medicine, University of Zagreb, Zagreb
,
Hrvoje Baric
Department of Neurosurgery, University Hospital Center Zagreb, School of Medicine, University of Zagreb, Zagreb
,
Josip Paladino
Department of Neurosurgery, University Hospital Center Zagreb, School of Medicine, University of Zagreb, Zagreb
,
Vasilije Stambolija
1   Department of Anesthesiology, University Hospital Center Zagreb, School of Medicine, University of Zagreb, Zagreb
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Despite growing popularity of endovascular techniques, certain subsets of patients with cerebrovascular compromise may benefit from bypass surgery. We present four cases in which pending ischemic lesion was prevented by (1) A3 resection and reanastomosis following falx meningioma removal, (2) rescue superficial temporal artery–middle cerebral artery (STA-MCA) bypass after pituitary adenoma surgery, (3) STA-MCA bypass for chronic internal carotid artery occlusion, and (4) external carotid artery-MCA bypass using radial artery grafting. Following the procedure, there were no further clinical or radiological deteriorations and long-term patency was confirmed in all four cases.

Key-words:

Bypass surgery - cerebrovascular occlusion - giant aneurysm - intracranial tumor


Publication History

Article published online:
14 September 2022

© 2018. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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