PMID: 3748335Jul 1, 1986Paper

Anterior cerebral artery reconstruction

Neurosurgery
A YokohH G Mirchandani

Abstract

Anterior cerebral artery end-to-end, end-to-side, and side-to-side anastomoses and grafting procedures including bypass and interposition using segments of the posterior cerebral artery harvested from the same specimen were performed. The reconstruction procedures were accomplished experimentally with the A1 and A2 segments of the anterior cerebral artery, the recurrent artery of Heubner (RAH), and the orbitofrontal and frontopolar arteries in end-to-end or end-to-side anastomosis to the A1 segment. Side-to-side anastomoses between both A2 or A3 segments were completed without difficulty. We utilized the anatomical and experimental reconstruction data in the performance of three surgical procedures for aneurysms in this area. An A1 to A2 end-to-end anastomosis, an A2 to A2 end-to-side anastomosis, and an end-to-end anastomosis of the RAh were performed with no technical difficulties or complications. This study shows the feasibility of these microvascular reconstruction procedures in the anterobasal part of the interhemisphere, where cerebral aneurysms frequently develop.

Citations

Sep 4, 2014·Surgical Neurology International·Anand AlurkarSuresh Nayak
Apr 29, 2008·Surgical Neurology·Erik Friedrich Hauck, Duke Samson
Feb 16, 2016·World Neurosurgery·Ioannis N MavridisGeorge Stranjalis
Jul 1, 1990·Surgical Neurology·J I AusmanC E Deopujari
Aug 8, 2014·Surgical Neurology International·Hitoshi FukudaR Loch Macdonald
Jun 1, 2018·Operative Neurosurgery·Ali Tayebi MeybodiMichael T Lawton

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