Occipital artery bypass importance in unsuitable superficial temporal artery:Two case reports

作     者：Jong-Hwan Hong Sung-Chan Jung Han-Seung Ryu Tae-Sun Kim Sung-Pil Joo 

作者机构：Department of NeurosurgeryChonnam National University Hospital and Medical SchoolGwangju 61469South Korea 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2023年第11卷第9期

页      面：2091-2097页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

基　　金：Supported by a grant from Chonnam National University Hospital Biomedical Research Institute No.BCRI22053 

主　　题：Bypass Occipital artery Superficial temporal artery Cerebral ischemia Case report 

摘      要：BACKGROUND Superficial temporal artery-middle cerebral artery(STA-MCA)bypass helps treat cerebral ***,the STA is not available for bypass in some ***,with some technical tips,the authors introduced a bypass technique using the occipital artery(OA).CASE SUMMARY Two female patients complained of *** magnetic resonance imaging(MRI)indicated contralateral infarction from the MCA *** Diamox single photon emission computed tomography or perfusion MRI,the contralateral front parietotemporal reserve was *** transfemoral cerebral angiography,the STA was thin with a weak flow;however,the OA was *** OA-MCA end-to-side extracranial-intracranial bypass surgery was implemented instead of STA because the caliber was too *** postoperative course was uneventful in both cases,with well-maintained bypass patency and neurological stability during *** OA might be an acceptable alternative for MCA cerebral ischemic cases with an unsuitable STA.