Acta neurochirurgica · 2026
Anterior cerebral artery side-to-side bypass and aneurysm trapping: Technical nuances and a contingency-based revascularization strategy.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Duangprasert Gahn
Аннотация
BACKGROUND: Fusiform aneurysms of the anterior cerebral artery (ACA) may require trapping with revascularization, particularly when distal flow is uncertain. Preoperative distinction between fixed dissection-related stenosis and vasospasm remains challenging.
METHODS: The author describes a flexible revascularization strategy in which a limited extension of a modified bicoronal incision allows preparation of the frontal branch of the superficial temporal artery (STA) as a standby interposition graft. Following intraoperative papaverine application and improvement in vessel caliber, in situ ACA side-to-side bypass was performed without graft interposition. Key technical nuances of the side-to-side bypass are demonstrated.
CONCLUSION: This approach integrates technical refinement in side-to-side bypass with pragmatic contingency planning, enabling tailored revascularization based on intraoperative anatomical and technical feasibility.
METHODS: The author describes a flexible revascularization strategy in which a limited extension of a modified bicoronal incision allows preparation of the frontal branch of the superficial temporal artery (STA) as a standby interposition graft. Following intraoperative papaverine application and improvement in vessel caliber, in situ ACA side-to-side bypass was performed without graft interposition. Key technical nuances of the side-to-side bypass are demonstrated.
CONCLUSION: This approach integrates technical refinement in side-to-side bypass with pragmatic contingency planning, enabling tailored revascularization based on intraoperative anatomical and technical feasibility.