Double-barrel STA-MCA bypass for cerebral revascularization after ischemic stroke. Case report
Vasilii Bobinov*
Polenov Neurosurgical Institute – Branch of Almazov National Medical Research Centre
*Corresponding author
*Vasilii Bobinov, Polenov Neurosurgical Institute – Branch of Almazov National Medical Research Centre
DOI: 10.55920/JCRMHS.2023.03.001134
Figure 1:Digital subtraction angiography (DSA) results of the patient. A.- Frontal projection, B - Sagital projection demonstrated total occlusion at the right internal carotid artery (ICA) from the ophthalmic artery origin to the bifurcation. C. - vertebral D. - left carotid angiography show absence of collateral blood flow
Figure 2: A. CT-perfusion shows hupoperfusion in right brain hemisphere. B. Ultrasound navigation to detect frontal and parietal branches of superficial temporal artery. ?. Double-barrel STA-MCA bypass. Intraoperative photo. D. Intraoperative indocyanine green angiography (ICG)
Figure 3: Control digital subtraction angiography (DSA) results of the patient. A.- Frontal projection, B - Sagital projection demonstrated total occlusion at the right internal carotid artery (ICA) from the ophthalmic artery origin to the bifurcation. Both branches of the anastomosis are functioning. C. - vertebral D. - left carotid angiography show absence of collateral blood flow
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