Document Detail

Superficial Temporal Artery Dissection - A Technical Note.
MedLine Citation:
PMID:  22986605     Owner:  NLM     Status:  Publisher    
BACKGROUND:: Dissection of the superficial temporal artery (STA) is often required in preparation for a bypass procedure. Traditionally, dissection of the STA involves a direct cutdown on the artery after marking the course of the artery on the skin with the help of a Doppler ultrasound probe. OBJECTIVE:: We describe a method that takes advantage of the position of the STA superficial to the temporal fascia. METHODS:: The technique was employed in a total of 38 procedures among 32 patients, for creation of synangiosis or Extracranial-Intracranial STA bypasses. The STA was dissected using a blunt malleable brain retractor, which was inserted into the subgaleal plane directly over the STA, allowing for creation of a linear incision and concurrent protection of the STA in its bed. Either CT- or catheter-based angiography was used to evaluate the patency postoperatively. RESULTS:: All STA vessels were dissected without complications or injury to the graft vessel. The sole complication was a superficial wound breakdown in a synangiosis case. Postoperative angiography demonstrated patency in all but one case of the 24 bypass cases (95.8%). CONCLUSION:: We describe a method that takes advantage of the position of the STA superficial to the temporal fascia to allow rapid, safe, and efficacious disssection. The incision is linear and easier to manage and close. In our series there were no technical complications related to the dissection of the STA.
Clemens M Schirmer; Carlos A David
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-9-14
Journal Detail:
Title:  Neurosurgery     Volume:  -     ISSN:  1524-4040     ISO Abbreviation:  Neurosurgery     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-9-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
1Division of Neurosurgery, Baystate Medical Center, Springfield, MA 2Department of Neurosurgery, Lahey Clinic, Burlington, MA 3Department of Neurosurgery, Tufts University School of Medicine, Boston, Massachusetts.
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