Skip to main content
SpringerLink
Log in

Bypass surgery using a radial artery graft for bilateral extracranial carotid arteries occlusion

  • Case Report
  • Published:
Neurosurgical Review Aims and scope Submit manuscript

Abstract 

A patient presenting with recurrent ischemic attacks was demonstrated to have complete occlusion of the right common and left internal carotid arteries. An external carotid angiogram showed a large left superficial temporal artery (STA) supplying both sides of the scalp. 123I-IMP single photon emission computed tomography (SPECT) revealed hypoperfusion of the both hemispheres, especially the left cerebral hemisphere. An extracranial-intracranial (EC-IC) bypass was performed using a radial artery graft interpositioned between the proximal part of the STA and the M2 segment, thus preserving blood flow to the scalp through the STA. Postoperative angiography after 1 year showed good circulation through the anastomosis, and 123I-IMP SPECT studies demonstrated increased cerebral perfusion. The patient improved clinically. The surgical technique is described below.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

Author information

Authors and Affiliations

  1. Department of Neurosurgery, Nagoya University School of Medicine, 65 Tsurumai, Showa, Nagoya, 466–8550, Japan Tel.: +81-52-744-2353, Fax: +81-52-744-2360, , , , , , JP

    E. Tachibana, Y. Suzuki, K. Saito & J. Yoshida

  2. Department of Neurosurgery, Kasugai City Hospital, Kasugai, Japan, , , , , , JP

    T. Harada

  3. Department of Neurosurgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India, , , , , , IN

    S. K. Gupta

Authors
  1. E. Tachibana
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Y. Suzuki
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. T. Harada
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. K. Saito
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. S. K. Gupta
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. J. Yoshida
    View author publications

    You can also search for this author in PubMed Google Scholar

Additional information

Received: 2 June 1998 / Accepted: 15 April 1999

Rights and permissions

Reprints and permissions

About this article

Cite this article

Tachibana, E., Suzuki, Y., Harada, T. et al. Bypass surgery using a radial artery graft for bilateral extracranial carotid arteries occlusion. Neurosurg Rev 23, 52–55 (2000). https://doi.org/10.1007/s101430050033

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s101430050033

Search

Navigation