Extracranial-intracranial bypass of the bilateral anterior cerebral circulation using a thoracodorsal axis artery-graft

Abhilash Jain; Kevin O'Neill; Maneesh C Patel; Niall Kirkpatrick; Niroshan Sivathasan; Jagdeep Nanchahal

doi:10.4103/1793-5482.106654

Extracranial-intracranial bypass of the bilateral anterior cerebral circulation using a thoracodorsal axis artery-graft

Asian J Neurosurg. 2012 Oct;7(4):203-5. doi: 10.4103/1793-5482.106654.

Authors

Abhilash Jain¹, Kevin O'Neill, Maneesh C Patel, Niall Kirkpatrick, Niroshan Sivathasan, Jagdeep Nanchahal

Affiliation

¹ Department of Plastic and Reconstructive Surgery and the Kennedy Institute of Rheumatology, Charing Cross Hospital Campus of Imperial College London, Fulham Palace Road, London, W6 8RF, U.K.

Abstract

Bilateral extracranial-intracranial (EC-IC) bypass-grafting of the cerebral circulation is uncommon. We report a case of anterior cerebral artery EC-IC bypass using the thoracodorsal axis artery-graft. The bifurcation of the thoracodorsal axis allows bypass of both anterior hemispheres, while matching appropriate small-vessel dimensions.

Keywords: Artery-graft; bilateral EC-IC bypass; thoracodorsal graft; unclippable intracranial aneurysm.

Publication types

Case Reports