Thyrocervical trunk-external carotid artery bypass for positional cerebral ischemia due to common carotid artery occlusion

Miguel A. Melgar, Deshdeepak Sahni, Martin E Weinand

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Medically refractory positional cerebral ischemia (PCI) and concomitant orthostatic hypotension associated with chronic common carotid artery (CCA) occlusion are rare. In this technical report, the authors describe an extracranial bypass in which the thyrocervical trunk was used as a donor vessel to treat three cases of CCA occlusion with PCI. Postoperatively, although orthostatic hypotension remained, ischemia-related symptoms resolved in all three patients and long-term graft patency was demonstrated. It is possible to treat cerebral ischemia due to CCA occlusion with extracranial bypass surgery. In these patients, the thyrocervical trunk proved to be a suitable donor vessel for the reconstitution of blood flow within the external carotid artery.

Original languageEnglish (US)
Pages (from-to)170-175
Number of pages6
JournalJournal of Neurosurgery
Volume103
Issue number1
DOIs
StatePublished - Jul 2005
Externally publishedYes

Fingerprint

External Carotid Artery
Common Carotid Artery
Brain Ischemia
Orthostatic Hypotension
Tissue Donors
Blood Vessels
Ischemia
Transplants

Keywords

  • Bypass surgery
  • Carotid artery occlusion
  • Positional cerebral ischemia
  • Thyrocervical trunk

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

Cite this

Thyrocervical trunk-external carotid artery bypass for positional cerebral ischemia due to common carotid artery occlusion. / Melgar, Miguel A.; Sahni, Deshdeepak; Weinand, Martin E.

In: Journal of Neurosurgery, Vol. 103, No. 1, 07.2005, p. 170-175.

Research output: Contribution to journalArticle

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