Radial Artery Graft for Bypass of the Maxillary to Proximal Middle Cerebral Artery: An Anatomic and Technical Study

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dc.contributor.authorÜstün Mehmet Erkan
dc.contributor.authorBüyükmumcu Mustafa
dc.contributor.authorÜlkü Çağatay Han
dc.contributor.authorÇiçekçibaşı Aynur Emine
dc.contributor.authorArbag Hamdi
dc.date.accessioned2020-03-26T16:55:50Z
dc.date.available2020-03-26T16:55:50Z
dc.date.issued2004
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractOBJECTIVE: In this study, we aimed to investigate the use of a radial artery graft for bypass of the maxillary artery (MA) to the proximal middle cerebral artery (MCA) as an alternative to superficial temporal artery-to-MCA anastomosis or extracranial carotid-to-MCA bypass using long grafts. METHODS: Five adult cadavers were used bilaterally. After a frontotemporal craniotomy and a zygomatic arch osteotomy, the MA was found easily 1 to 2 cm inferior to the infratemporal crest. A hole was created with a 4-mm-tip drill in the sphenoid bone 2 to 3 mm lateral to the foramen rotundum extradurally, and the dura over the hole was opened. After the carotid and sylvian cisterns had been opened, the M2 segment of the MCA was exposed. The graft was passed through the hole to reach the M2 segment. Then, the MA was freed from the surrounding tissue and was transected before the infraorbital artery branch. The radial artery graft was anastomosed end-to-end to the MA proximally and end-to-side to the M2 segment of the MCA distally. RESULTS: The mean thickness of the MA before the infraorbital artery branch was 2.6 × 0.3 mm. The mean thickness of the largest trunk of the MCA was 2.3 ± 0.3 mm. The average length of the graft was 36 ± 5.5 mm. CONCLUSION: MA-to-MCA bypass is as feasible as proximal MCA revascularization using long vein grafts. The thickness of the MA provides sufficient flow; the length of the graft is short, and it has a straight course. MA-to-proximal MCA bypass may be an alternative to superficial temporal artery-to-MCA as well as extracranial carotid-to-MCA bypasses.en_US
dc.identifier.citationÜstün M. E., Büyükmumcu M., Ülkü Ç. H., Çiçekçibaşı A. E., Arbag H., (2004). Radial Artery Graft for Bypass of the Maxillary to Proximal Middle Cerebral Artery: An Anatomic and Technical Study. Neurosurgery, 54(3), 667-671. Doi: 10.1227/01.NEU.0000109533.72250.E0
dc.identifier.doi10.1227/01.NEU.0000109533.72250.E0en_US
dc.identifier.endpage671en_US
dc.identifier.issn0148396Xen_US
dc.identifier.issue3en_US
dc.identifier.pmid15028142en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage667en_US
dc.identifier.urihttps://dx.doi.org/10.1227/01.NEU.0000109533.72250.E0
dc.identifier.urihttps://hdl.handle.net/20.500.12395/19363
dc.identifier.volume54en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorÜstün M. E.
dc.institutionauthorBüyükmumcu M.
dc.institutionauthorÜlkü Ç. H.
dc.institutionauthorÇiçekçibaşı A. E.
dc.institutionauthorArbag H.
dc.language.isoenen_US
dc.publisherLippincott Williams and Wilkinsen_US
dc.relation.ispartofNeurosurgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectBypass procedureen_US
dc.subjectMaxillary arteryen_US
dc.subjectMiddle cerebral arteryen_US
dc.subjectRadial artery graften_US
dc.titleRadial Artery Graft for Bypass of the Maxillary to Proximal Middle Cerebral Artery: An Anatomic and Technical Studyen_US
dc.typeArticleen_US

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