Staged Common and External Carotid Artery Stenting Followed by Superficial Temporal Artery to Middle Cerebral Artery Bypass

Michael Mulcahy; Anna Lo Presti; Jorn Paul Van Der Veken; Brendan Steinfort; Nazih Assaad

doi:10.1055/a-1832-3158

Journal of Neurological Surgery Part A: Central European Neurosurgery, Inhaltsverzeichnis

J Neurol Surg A Cent Eur Neurosurg 2024; 85(04): 412-416
DOI: 10.1055/a-1832-3158

Case Report

Staged Common and External Carotid Artery Stenting Followed by Superficial Temporal Artery to Middle Cerebral Artery Bypass

Michael Mulcahy

¹Sydney Medical School, the University of Sydney, Camperdown NSW, Sydney, New South Wales, Australia

,

Anna Lo Presti

²Department of Neurosurgery, Macquarie University, Sydney, New South Wales, Australia

,

Jorn Paul Van Der Veken

²Department of Neurosurgery, Macquarie University, Sydney, New South Wales, Australia

,

Brendan Steinfort

³Department of Radiology, Macquarie University, Sydney, New South Wales, Australia

,

Nazih Assaad

²Department of Neurosurgery, Macquarie University, Sydney, New South Wales, Australia

› Institutsangaben

Abstract

Superficial temporal artery (STA) to middle cerebral artery (MCA) bypass surgery for internal carotid artery (ICA) occlusive disease necessarily requires sufficient external carotid artery (ECA) blood flow. Surgical bypass is therefore precluded if there is common carotid artery (CCA) occlusion. Here we present two such cases: one patient had a CCA occlusion and the other had an ICA occlusion and ECA stenosis. Both had failed medical management, and were therefore treated with angioplasty and stenting of the ECA, followed by STA-MCA bypass. We describe the clinical and radiologic outcomes of these cases, and remark on the potential pitfalls associated with this novel approach.

Keywords

cerebral revascularization - extracranial–intracranial bypass - carotid artery occlusion - cerebral ischemia - carotid stent

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Referenzen

References
1 Yasargil MGKH, Krayenbuhl HA, Jacobson II JH. Microneurosurgical arterial reconstruction. Surgery 1970; 67 (01) 221-233
2 Chater N. Neurosurgical extracranial-intracranial bypass for stroke: with 400 cases. Neurol Res 1983; 5 (02) 1-9
3 Vilela MD, Newell DW. Superficial temporal artery to middle cerebral artery bypass: past, present, and future. Neurosurg Focus 2008; 24 (02) E2
4 Powers WJ, Clarke WR, Grubb Jr RL, Videen TO, Adams Jr HP, Derdeyn CP. COSS Investigators. Extracranial-intracranial bypass surgery for stroke prevention in hemodynamic cerebral ischemia: the Carotid Occlusion Surgery Study randomized trial. JAMA 2011; 306 (18) 1983-1992
5 Marshall RS, Festa JR, Cheung Y-K. et al; RECON Investigators. Randomized Evaluation of Carotid Occlusion and Neurocognition (RECON) trial: main results. Neurology 2014; 82 (09) 744-751
6 EC/IC Bypass Study Group. Failure of extracranial-intracranial arterial bypass to reduce the risk of ischemic stroke. Results of an international randomized trial. N Engl J Med 1985; 313 (19) 1191-1200
7 Esposito G, Amin-Hanjani S, Regli L. Role of and indications for bypass surgery after Carotid Occlusion Surgery Study (COSS)?. Stroke 2016; 47 (01) 282-290
8 Amin-Hanjani S, Barker II FG, Charbel FT, Connolly Jr ES, Morcos JJ, Thompson BG. Cerebrovascular Section of the American Association of Neurological Surgeons, Congress of Neurological Surgeons. Extracranial-intracranial bypass for stroke-is this the end of the line or a bump in the road?. Neurosurgery 2012; 71 (03) 557-561
9 Jeffree RL, Stoodley MA. STA-MCA bypass for symptomatic carotid occlusion and haemodynamic impairment. J Clin Neurosci 2009; 16 (02) 226-235
10 Oku T, Nogami K, Koizumi H. et al. External carotid artery stenting and superficial temporal artery to middle cerebral artery anastomosis for internal carotid artery occlusion with external carotid artery severe stenosis: case report. Neurol Med Chir (Tokyo) 2012; 52 (12) 906-909
11 Ko JK, Lee SW, Lee TH, Choi CH. External carotid artery angioplasty and stenting followed by superficial temporal artery to middle cerebral artery anastomosis. J Korean Neurosurg Soc 2009; 46 (05) 488-491
12 Kawamata T, Okada Y, Kawashima A, Yamaguchi K, Hori T. External carotid endarterectomy followed by superficial temporal artery to middle cerebral artery anastomosis for internal carotid artery occlusion with advanced ipsilateral external carotid stenosis. Neurosurgery 2008;62(05, Suppl 02):ONS395–ONS399, discussion ONS399
13 Powers WJM, Derdeyn CPM, Fritsch SMR. et al. Benign prognosis of never-symptomatic carotid occlusion. Neurology 2000; 54 (04) 878-882
14 Grubb Jr RL, Derdeyn CP, Fritsch SM. et al. Importance of hemodynamic factors in the prognosis of symptomatic carotid occlusion. JAMA 1998; 280 (12) 1055-1060
15 Komotar RJ, Starke RM, Otten ML. et al. The role of indirect extracranial-intracranial bypass in the treatment of symptomatic intracranial atheroocclusive disease. J Neurosurg 2009; 110 (05) 896-904
16 Grubb Jr RL, Powers WJ, Clarke WR, Videen TO, Adams Jr HP, Derdeyn CP. Carotid Occlusion Surgery Study Investigators. Surgical results of the carotid occlusion surgery study. J Neurosurg 2013; 118 (01) 25-33
17 Hänggi D, Steiger HJ, Vajkoczy P. The role of MCA-STA bypass surgery after COSS and JET: the European point of view. Acta Neurochir Suppl (Wien) 2014; 119: 77-78
18 Rogers LA. Carotid angioplasty in the management of external carotid artery stenosis associated with an occluded internal carotid artery. Neurosurgery 1982; 11 (1, Pt 1): 20-24
19 Rabb CH, Moneta GL. Staged cerebral revascularization in a patient with an occluded common carotid artery. Stroke 2005; 36 (08) E68-E70
20 Moran JM, Reichman OH, Baker WH. Staged intracranial and extracranial revascularization. Arch Surg 1977; 112 (12) 1424-1428
21 See AP, Charbel FT. Bypass for flow-augmentation in atherosclerotic carotid occlusion: a review of the literature and career experience. J Neurosurg Sci 2021; 65 (03) 305-321