Radial artery graft for bypass of the maxillary to proximal posterior cerebral artery: An anatomical and technical study

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dc.contributor.authorUlku, CH
dc.contributor.authorUstun, ME
dc.contributor.authorBuyukmumcu, M
dc.contributor.authorCicekcibasi, AE
dc.contributor.authorZiylan, T
dc.date.accessioned2020-03-26T16:55:26Z
dc.date.available2020-03-26T16:55:26Z
dc.date.issued2004
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractObjective-To examine the use of a radial artery graft for bypass of the maxillary artery (MA) to proximal posterior cerebral artery (PCA) as an alternative to the external carotid artery (ECA) to PCA anastomosis used in posterior circulation bypass surgery. Materials and Methods-The method was applied to five adult cadaver sides bilaterally. The MA was easily found 1-2 cm beneath the infratemporal crest after a frontotemporal craniotomy and a zygomatic arch osteotomy. Extradurally, 2-3 cm posterolateral to the foramen rotundum, a hole was drilled in the sphenoid bone with a 4-mm tipped drill. After sylvian fissure, the interpedincular and ambient cisternae were opened and the P2 segment of the PCA appeared. The graft was passed through the hole and dura to reach the P2 segment. Proximal to the infraorbital artery branch, the MA was freed from the surrounding tissue and transected. The proximal side of the radial artery graft was anastomosed end-to-end with the MA and the distal side was anastomosed end-to-side with the P2 segment of the PCA. Results-The average diameter of the MA proximal to the infraorbital artery branch was 2.6+/-0.3 mm. The average diameter of the P2 was 2.2+/-0.2 mm. The average length of the graft was 47+/-5.2 mm. Conclusion-As MA to proximal PCA bypass uses a short radial graft and as the calibers of the MA and PCA are >2 mm such a bypass may provide sufficient blood flow and represents a reasonable alternative to "ECA to PCA'' bypass.en_US
dc.identifier.doi10.1080/00016480410017477en_US
dc.identifier.endpage862en_US
dc.identifier.issn0001-6489en_US
dc.identifier.issue7en_US
dc.identifier.pmid15370572en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage858en_US
dc.identifier.urihttps://dx.doi.org/10.1080/00016480410017477
dc.identifier.urihttps://hdl.handle.net/20.500.12395/19182
dc.identifier.volume124en_US
dc.identifier.wosWOS:000223997900017en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTAYLOR & FRANCIS ASen_US
dc.relation.ispartofACTA OTO-LARYNGOLOGICAen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectartery graften_US
dc.subjectbypass procedureen_US
dc.subjectmaxillary arteryen_US
dc.subjectposterior cerebral arteryen_US
dc.titleRadial artery graft for bypass of the maxillary to proximal posterior cerebral artery: An anatomical and technical studyen_US
dc.typeArticleen_US

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