Format

Send to

Choose Destination
See comment in PubMed Commons below
Neurosurgery. 2006 Oct;59(4 Suppl 2):ONS353-9; discussion ONS359-60.

Submandibular-infratemporal interpositional carotid artery bypass for cranial base tumors and giant aneurysms.

Author information

  • 1Department of Neurosurgery, University of Utah School of Medicine, Salt Lake City, Utah 84132, USA. william.couldwell@hsc.utah.edu

Abstract

OBJECTIVE:

Cerebral revascularization is an important strategy in the surgical management of some complex cranial base tumors and unclippable aneurysms. A high-flow bypass may be necessary in planned carotid occlusion or sacrifice. The cervical-to-supraclinoid internal carotid artery bypass or cervical carotid-to-middle cerebral artery bypass are useful procedures to bypass lesions at the base of the cranium. We describe technical modifications of the submandibular-infratemporal interpositional saphenous vein (or radial artery) graft bypass technique specifically designed to avoid removal of the zygoma.

METHODS:

The saphenous vein or radial artery interpositional graft is tunneled through a burr hole created in the floor of the middle fossa via a submandibular-infratemporal route avoiding removal of zygoma and attachments of the masseter or temporalis muscles.

RESULTS:

The technique is demonstrated in one patient with removal of a malignant cavernous sinus tumor and in another patient with an unclippable giant carotid bifurcation aneurysm.

CONCLUSION:

The advantages of this approach include preservation of the facial anatomy and creation of a short and safe route for passage of the saphenous vein or radial artery graft.

[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Lippincott Williams & Wilkins
    Loading ...
    Write to the Help Desk