Two-stage carotid saphenous vein interposition graft and superficial temporal artery bypass for acute carotid occlusion Lukas Andereggen, MD, Robert.

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Two-stage carotid saphenous vein interposition graft and superficial temporal artery bypass for acute carotid occlusion Lukas Andereggen, MD, Robert H. Andres, MD, Marcel Arnold, MD, Andreas Raabe, MD, Jürg Schmidli, MD, Michael Reinert, MD Journal of Vascular Surgery Cases Volume 1, Issue 2, Pages 161-164 (June 2015) DOI: 10.1016/j.jvsc.2015.03.013 Copyright © 2015 The Authors Terms and Conditions

Fig 1 Angiographic findings of acute common carotid artery (CCA) occlusion and collateralization. A, Occluded CCA on the left side at the level of carotid bifurcation with stasis in the vessel stump (arrow). B, Marked pial collaterals from the posterior territory to the left middle cerebral artery (MCA) territory on the left side. C, Substantial external-external collaterals mainly from the occipital artery of the right side to the stump of the superficial temporal artery (STA; arrow). D, Right-sided extracranial and intracranial vessels were patent, showing normal flow on the magnetic resonance angiogram. Journal of Vascular Surgery Cases 2015 1, 161-164DOI: (10.1016/j.jvsc.2015.03.013) Copyright © 2015 The Authors Terms and Conditions

Fig 2 Postoperative images after first and second bypass operation. A, Postoperative computed tomography angiography shows open venous bypass anastomosis of the common carotid artery (CCA) on the left side (double arrow) to the superficial temporal artery (STA; arrow) on the ipsilateral side. B, Three-dimensional angiography depicts the anastomosis of the intracranial part bypass. Journal of Vascular Surgery Cases 2015 1, 161-164DOI: (10.1016/j.jvsc.2015.03.013) Copyright © 2015 The Authors Terms and Conditions

Fig 3 Perioperative perfusion-weighted imaging maps. Preoperative perfusion-weighted images show delayed perfusion in the middle cerebral artery (MCA) and anterior cerebral artery (ACA) territory on the left side (A) compared with the postoperative perfusion-weighted imaging sequences (B). Journal of Vascular Surgery Cases 2015 1, 161-164DOI: (10.1016/j.jvsc.2015.03.013) Copyright © 2015 The Authors Terms and Conditions