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Superficial Temporal Artery to Middle Cerebral Artery Double Bypass Via a Small Craniotomy -Technical Note-
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- YOSHIMURA Shinichi
- Department of Neurosurgery, Graduate School of Medicine, Gifu University
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- EGASHIRA Yusuke
- Department of Neurosurgery, Graduate School of Medicine, Gifu University
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- ENOMOTO Yukiko
- Department of Neurosurgery, Graduate School of Medicine, Gifu University
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- YAMADA Kiyofumi
- Department of Neurosurgery, Graduate School of Medicine, Gifu University
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- YANO Hirohito
- Department of Neurosurgery, Graduate School of Medicine, Gifu University
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- IWAMA Toru
- Department of Neurosurgery, Graduate School of Medicine, Gifu University
Bibliographic Information
- Other Title
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- —Technical Note—
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Description
Frontotemporal craniotomy is usually necessary to perform superficial temporal artery (STA)-middle cerebral artery (MCA) double bypass for cerebrovascular occlusive disease. This report describes a less invasive technique of double bypass through a small craniotomy with minimum skin incision. Thirty-four consecutive patients underwent an elective STA-MCA double bypass via a small craniotomy from January 2006 to October 2009. The parietal and frontal branches of the STA were divided through a minimum linear or y-shaped skin incision, and these branches were anastomosed to the supra- and infrasylvian portions of the MCA. No periprocedural complication such as subdural hematoma or cutaneous necrosis occurred. Postoperative cerebral angiography within 6 months showed that the bypasses were patent in all 34 patients. Double STA-MCA bypass via a small craniotomy might be less invasive, especially for patients at high risk for postoperative hemorrhagic complication or cutaneous necrosis.<br>
Journal
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- Neurologia medico-chirurgica
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Neurologia medico-chirurgica 50 (10), 956-959, 2010
The Japan Neurosurgical Society
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Details 詳細情報について
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- CRID
- 1390282680032137856
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- NII Article ID
- 130000442890
- 10026743396
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- NII Book ID
- AN00358613
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- ISSN
- 13498029
- 04708105
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- HANDLE
- 20.500.12099/37843
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- PubMed
- 21030817
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- Text Lang
- en
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- Article Type
- journal article
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- Data Source
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- JaLC
- IRDB
- Crossref
- CiNii Articles
- OpenAIRE
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- Abstract License Flag
- Disallowed