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• W2075010490 abstract "Abstract OBJECTIVE: Cerebral revascularization is an important strategy in the surgical management of some complex cranial base tumors and unclippable aneurysms. A high-flow bypass may be necessary in planned carotid occlusion or sacrifice. The cervical-to-supraclinoid internal carotid artery bypass or cervical carotid-to-middle cerebral artery bypass are useful procedures to bypass lesions at the base of the cranium. We describe technical modifications of the submandibular-infratemporal interpositional saphenous vein (or radial artery) graft bypass technique specifically designed to avoid removal of the zygoma. METHODS: The saphenous vein or radial artery interpositional graft is tunneled through a burr hole created in the floor of the middle fossa via a submandibular-infratemporal route avoiding removal of zygoma and attachments of the masseter or temporalis muscles. RESULTS: The technique is demonstrated in one patient with removal of a malignant cavernous sinus tumor and in another patient with an unclippable giant carotid bifurcation aneurysm. CONCLUSION: The advantages of this approach include preservation of the facial anatomy and creation of a short and safe route for passage of the saphenous vein or radial artery graft." @default.
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• W2075010490 date "2006-01-01" @default.
• W2075010490 modified "2023-10-17" @default.
• W2075010490 title "Submandibular-Infratemporal Interpositional Carotid Artery Bypass for Cranial Base Tumors and Giant Aneurysms" @default.
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• W2075010490 doi "https://doi.org/10.1227/01.neu.0000233661.59065.46" @default.
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