Thyrocervical trunk-external carotid artery bypass for positional cerebral ischemia due to common carotid artery occlusion. Report of three cases.

Miguel A. Melgar, Martin E. Weinand

Research output: Contribution to journalArticle

7 Scopus citations


Medically refractory positional cerebral ischemia and concomitant orthostatic hypotension associated with chronic common carotid artery (CCA) occlusion are rare. The authors detail their experience with three cases treated exclusively by an extracranial bypass in which the thyrocervical trunk was used as the donor vessel. Postoperatively grafts were patent and symptoms resolved in all three patients, although orthostatic hypotension remained. Postural cerebral ischemia due to CCA occlusion can be treated by extracranial bypass surgery. The thyrocervical trunk is a suitable donor for reconstruction of the external carotid artery in these cases.

Original languageEnglish (US)
Pages (from-to)e7
JournalNeurosurgical focus
Issue number3
StatePublished - Mar 15 2003


ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this