A double-barrel superficial temporal artery-to-superior cerebellar artery (STA-SCA) and STA-to-posterior cerebral artery (STA-PCA) bypass for revascularization of the basilar apex

M Yashar S Kalani; Yin C Hu; Robert F Spetzler

doi:10.1016/j.jocn.2012.09.007

A double-barrel superficial temporal artery-to-superior cerebellar artery (STA-SCA) and STA-to-posterior cerebral artery (STA-PCA) bypass for revascularization of the basilar apex

J Clin Neurosci. 2013 Jun;20(6):887-9. doi: 10.1016/j.jocn.2012.09.007. Epub 2013 Mar 28.

Authors

M Yashar S Kalani¹, Yin C Hu, Robert F Spetzler

Affiliation

¹ Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013, USA.

PMID: 23541769
DOI: 10.1016/j.jocn.2012.09.007

Abstract

Basilar apex aneurysms are challenging lesions for both microsurgical and endovascular therapy. In patients in whom direct clipping and coil embolization are not options, cerebral revascularization and occlusion of the basilar artery is a possible treatment strategy. We report a patient with a large basilar apex aneurysm treated by double-barrel anastomoses of the superficial temporal artery to the superior cerebellar artery (STA-SCA) and the STA to the posterior cerebral artery (STA-PCA) followed by occlusion of the basilar artery below the SCAs. A double-barrel bypass augments blood flow to the brainstem. We report a novel bypass option for augmenting blood flow to the basilar apex and brainstem.

Publication types

Case Reports

MeSH terms

Basilar Artery / surgery
Cardiopulmonary Bypass / methods*
Cerebral Angiography / methods
Cerebral Revascularization / methods*
Female
Humans
Intracranial Aneurysm / surgery*
Magnetic Resonance Angiography
Magnetic Resonance Imaging
Middle Aged
Posterior Cerebral Artery / surgery