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CC BY-NC-ND 4.0 · Asian J Neurosurg 2012; 7(04): 203-205
DOI: 10.4103/1793-5482.106654
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Extracranial-intracranial bypass of the bilateral anterior cerebral circulation using a thoracodorsal axis artery-graft

Abhilash Jain
Department of Plastic and Reconstructive Surgery and the Kennedy Institute of Rheumatology, Charing Cross Hospital Campus of Imperial College London, Fulham Palace Road, London, W6 8RF
,
Kevin O'Neill
1   Kennedy Institute of Neurosurgery, Charing Cross Hospital Campus of Imperial College London, Fulham Palace Road, London, W6 8RF
,
Maneesh Patel
2   Kennedy Institute of Neuroradiology, Charing Cross Hospital Campus of Imperial College London, Fulham Palace Road, London, W6 8RF
,
Niall Kirkpatrick
Department of Plastic and Reconstructive Surgery and the Kennedy Institute of Rheumatology, Charing Cross Hospital Campus of Imperial College London, Fulham Palace Road, London, W6 8RF
,
Niroshan Sivathasan
Department of Plastic and Reconstructive Surgery and the Kennedy Institute of Rheumatology, Charing Cross Hospital Campus of Imperial College London, Fulham Palace Road, London, W6 8RF
,
Jagdeep Nanchahal
1   Kennedy Institute of Neurosurgery, Charing Cross Hospital Campus of Imperial College London, Fulham Palace Road, London, W6 8RF
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Bilateral extracranial-intracranial (EC-IC) bypass-grafting of the cerebral circulation is uncommon. We report a case of anterior cerebral artery EC-IC bypass using the thoracodorsal axis artery-graft. The bifurcation of the thoracodorsal axis allows bypass of both anterior hemispheres, while matching appropriate small-vessel dimensions.

Key-words:

Artery-graft - bilateral EC-IC bypass - thoracodorsal graft - unclippable intracranial aneurysm


Publication History

Article published online:
27 September 2022

© 2012. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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