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Dissection of both frontal and parietal branches of the superficial temporal artery for bypass surgery through a single linear skin incision.
MedLine Citation:
PMID:  21553319     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Double superficial temporal artery (STA) to middle cerebral artery (MCA) bypass surgery has typically involved more than one linear incision. In this report, we demonstrate how the procedure can be performed through a single linear skin incision over the parietal branch of the STA. METHODS: Initial dissection of the parietal branch and creation of a subcutaneous cavity along the frontal branch were performed using the conventional microscopic method. Detailed additional dissection and isolation of the frontal branch were accomplished with the aid of an endoscopic retractor. RESULTS: This procedure was performed in five patients for harvesting of approximately 8- and 5-cm lengths of the parietal and frontal branches, respectively. The resultant lengths of the harvested vessels were sufficient for anastomotic revascularization of MCA recipient arteries in both the frontal and temporal lobes. CONCLUSION: This method can be safely performed with achievement of a less invasive dissection of the STA and an overall improved cosmetic outcome.
Authors:
Yoji Tamura; Atsushi Aoki; Yoshitaka Yamada; Naosuke Nonoguchi; Ryokichi Yagi; Adam Tucker; Toshihiko Kuroiwa
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-5-8
Journal Detail:
Title:  Acta neurochirurgica     Volume:  -     ISSN:  0942-0940     ISO Abbreviation:  -     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-5-9     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0151000     Medline TA:  Acta Neurochir (Wien)     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Neurosurgery, Osaka Medical College, 2-7, Daigaku-machi, Takatsuki City, Osaka, 569-8686, Japan, neu034@poh.osaka-med.ac.jp.
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