How I do it: superficial temporal artery to middle cerebral artery bypass for treatment of giant middle cerebral artery aneurysm.

Authors

Walter C. Jean MD, Lehigh Valley Health NetworkFollow
Daniel R Felbaum
Hung M Ngo

Publication/Presentation Date

3-1-2020

Abstract

BACKGROUND: Giant middle cerebral artery aneurysms are frequently anatomically complicated. Trapping may yield poor outcome, and bypass revascularization is often necessary as an adjunctive treatment to preserve flow.

METHOD: The technical nuances of superficial temporal artery to middle cerebral artery bypass are described in the setting of clip reconstruction of giant middle cerebral artery (MCA) aneurysm. In addition to an operative video, the anatomy and surgical technique are demonstrated in virtual reality to enhance the didactic clarity.

CONCLUSION: Meticulous technique is paramount for successful superficial temporal artery MCA bypass. Along with clip reconstruction, it is a critical part of the treatment of complex, giant MCA aneurysms.

Volume

162

Issue

3

First Page

593

Last Page

596

ISSN

0942-0940

Published In/Presented At

Jean, W. C., Felbaum, D. R., & Ngo, H. M. (2020). How I do it: superficial temporal artery to middle cerebral artery bypass for treatment of giant middle cerebral artery aneurysm. Acta neurochirurgica, 162(3), 593–596. https://doi.org/10.1007/s00701-019-04202-x

Disciplines

Medicine and Health Sciences

PubMedID

31907612

Department(s)

Department of Surgery

Document Type

Article