DOI: 10.3171/jns.1992.76.5.0863. Anastomosis of the anterior temporal artery to a secondary trunk of the middle cerebral artery for treatment of a giant M1 segment aneurysm

Anastomosis of the anterior temporal artery to a secondary trunk of the middle cerebral artery for treatment of a giant M1 segment aneurysm

10.3171/jns.1992.76.5.0863

Crossref journal-article

Journal of Neurosurgery Publishing Group (JNSPG)

Journal of Neurosurgery (1754)

Abstract

✓ The clinical course, operative technique, and angiographic outcome are reported for a patient with a giant intracranial aneurysm of the proximal middle cerebral artery (MCA) who presented with symptoms of ischemia. Treatment of the aneurysm required bypassing the involved MCA bifurcation, but the patient lacked a suitable donor superficial temporal artery. The involved arterial segment was therefore bypassed with a side-to-side anastomosis of the anterior temporal artery to one of the secondary trunks of the MCA. This bypass eliminated the need to harvest a vein graft and re-established flow using in situ intracranial vessels of similar diameter, minimal arterial dissection, and only one suture line.

Bibliography

Bederson, J. B., & Spetzler, R. F. (1992). Anastomosis of the anterior temporal artery to a secondary trunk of the middle cerebral artery for treatment of a giant M1 segment aneurysm. Journal of Neurosurgery, 76(5), 863â866.

Authors 2

Joshua B. Bederson (first)
Robert F. Spetzler (additional)

References 18 Referenced 46

{'key': 'b1', 'series-title': 'Blood Vessels', 'first-page': '183', 'article-title': 'Development of collaterals in the cerebral circulation.', 'volume': '28', 'author': 'Coyle', 'year': '1991'} / Blood Vessels / Development of collaterals in the cerebral circulation. by Coyle (1991)
{'key': 'b2', 'series-title': 'Microvascular Surgery.', 'first-page': '75', 'article-title': 'Patch and bypass in microangieional surgery', 'author': 'Donaghy', 'year': '1967'} / Microvascular Surgery. / Patch and bypass in microangieional surgery by Donaghy (1967)
{'key': 'b3', 'series-title': 'N Engl J Med', 'first-page': '1191', 'article-title': 'Failure of extracranial-intracranial arterial bypass to reduce the risk of ischemic stroke. Results of an international randomized trial.', 'volume': '313', 'year': '1985'} / N Engl J Med / Failure of extracranial-intracranial arterial bypass to reduce the risk of ischemic stroke. Results of an international randomized trial. (1985)
{'key': 'b4', 'series-title': 'Stroke', 'first-page': '397', 'article-title': 'The International Cooperative Study of Extracranial/Intracranial Arterial Anastomosis (EC/IC Bypass Study): methodology and entry characteristics.', 'volume': '16', 'year': '1985'} / Stroke / The International Cooperative Study of Extracranial/Intracranial Arterial Anastomosis (EC/IC Bypass Study): methodology and entry characteristics. (1985)
{'key': 'b5', 'series-title': 'Cerebral Revascularization for Stroke.', 'first-page': '584', 'article-title': 'Results of EC-IC bypass with and without long vein graft', 'author': 'Eguchi', 'year': '1985'} / Cerebral Revascularization for Stroke. / Results of EC-IC bypass with and without long vein graft by Eguchi (1985)
{'key': 'b6', 'series-title': 'Surg Neurol', 'first-page': '463', 'article-title': 'Vein graft bypass in treatment of giant aneurysm.', 'volume': '12', 'author': 'Iwabuchi', 'year': '1979'} / Surg Neurol / Vein graft bypass in treatment of giant aneurysm. by Iwabuchi (1979)
{'key': 'b7', 'series-title': 'Cerebral Revascularization for Stroke.', 'first-page': '591', 'article-title': 'Vein interposition grafts for anterior circulation ischemia', 'author': 'Marano', 'year': '1985'} / Cerebral Revascularization for Stroke. / Vein interposition grafts for anterior circulation ischemia by Marano (1985)
10.3171/jns.1979.50.6.0802 / J Neurosurg / Middle meningeal to middle cerebral arterial bypass for cerebral revascularization. Case report. by Miller (1979)
{'key': 'b9', 'series-title': 'Clin Neurosurg', 'first-page': '114', 'article-title': 'Extracranial to intracranial bypass in the treatment of aneurysms.', 'volume': '32', 'author': 'Peerless', 'year': '1985'} / Clin Neurosurg / Extracranial to intracranial bypass in the treatment of aneurysms. by Peerless (1985)
10.1002/ana.410290302 / Ann Neurol / Cerebral hemodynamics in ischemic cerebrovascular disease. by Powers (1991)
10.1001/archsurg.1981.01380240062009 / Arch Surg / Saphenous vein interposition grafts in the microsurgical treatment of cerebral ischemia. by Samson (1981)
10.1016/S0950-821X(88)80006-9 / Eur J Vase Surg / The haemodynamic value of external carotid artery collateral blood supply in carotid artery disease. by Sillesen (1988)
{'key': 'b13', 'series-title': 'Surg Neurol', 'first-page': '235', 'article-title': 'Occipital artery-middle cerebral artery anastomosis for cerebral artery occlusive disease.', 'volume': '2', 'author': 'Spetzler', 'year': '1974'} / Surg Neurol / Occipital artery-middle cerebral artery anastomosis for cerebral artery occlusive disease. by Spetzler (1974)
10.3171/jns.1980.53.1.0022 / J Neurosurg / Elective extracranial-intracranial arterial bypass in the treatment of inoperable giant aneurysms of the internal carotid artery. by Spetzler (1980)
10.3171/jns.1986.65.4.0439 / J Neurosurg / Saphenous vein bypass grafts for giant aneurysms and intracranial occlusive disease. by Sundt (1986)
10.3171/jns.1984.61.3.0458 / J Neurosurg / Microsurgical anatomy of the proximal segments of the middle cerebral artery. by Umansky (1984)
{'key': 'b17', 'series-title': 'Microneurosurgery. II: Clinical Considerations, Surgery of the Intracranial Aneurysms and Results.', 'first-page': '124', 'article-title': 'Middle cerebral artery aneurysms', 'author': 'Yaşargil', 'year': '1984'} / Microneurosurgery. II: Clinical Considerations, Surgery of the Intracranial Aneurysms and Results. / Middle cerebral artery aneurysms by Yaşargil (1984)
{'key': 'b18', 'series-title': 'Surgery', 'first-page': '221', 'article-title': 'Microneurosurgical arterial reconstruction.', 'volume': '67', 'author': 'Yaşargil', 'year': '1970'} / Surgery / Microneurosurgical arterial reconstruction. by Yaşargil (1970)

Dates

Type	When
Created	16 years, 3 months ago (May 26, 2009, 4:33 p.m.)
Deposited	2 years, 5 months ago (March 19, 2023, 8:36 p.m.)
Indexed	1 week, 1 day ago (Aug. 21, 2025, 1:31 p.m.)
Issued	33 years, 3 months ago (May 1, 1992)
Published	33 years, 3 months ago (May 1, 1992)
Published Print	33 years, 3 months ago (May 1, 1992)

Funders 0

None

BibTeX

@article{Bederson_1992, title={Anastomosis of the anterior temporal artery to a secondary trunk of the middle cerebral artery for treatment of a giant M1 segment aneurysm: Case report}, volume={76}, ISSN={0022-3085}, url={http://dx.doi.org/10.3171/jns.1992.76.5.0863}, DOI={10.3171/jns.1992.76.5.0863}, number={5}, journal={Journal of Neurosurgery}, publisher={Journal of Neurosurgery Publishing Group (JNSPG)}, author={Bederson, Joshua B. and Spetzler, Robert F.}, year={1992}, month=may, pages={863–866} }

JSON

{
  "indexed": {
    "date-parts": [
      [
        2025,
        8,
        21
      ]
    ],
    "date-time": "2025-08-21T17:31:14Z",
    "timestamp": 1755797474758
  },
  "reference-count": 18,
  "publisher": "Journal of Neurosurgery Publishing Group (JNSPG)",
  "issue": "5",
  "content-domain": {
    "domain": [],
    "crossmark-restriction": false
  },
  "published-print": {
    "date-parts": [
      [
        1992,
        5
      ]
    ]
  },
  "abstract": "<jats:p content-type=\"fine-print\">\u2713 The clinical course, operative technique, and angiographic outcome are reported for a patient with a giant intracranial aneurysm of the proximal middle cerebral artery (MCA) who presented with symptoms of ischemia. Treatment of the aneurysm required bypassing the involved MCA bifurcation, but the patient lacked a suitable donor superficial temporal artery. The involved arterial segment was therefore bypassed with a side-to-side anastomosis of the anterior temporal artery to one of the secondary trunks of the MCA. This bypass eliminated the need to harvest a vein graft and re-established flow using <jats:italic>in situ</jats:italic> intracranial vessels of similar diameter, minimal arterial dissection, and only one suture line.</jats:p>",
  "DOI": "10.3171/jns.1992.76.5.0863",
  "type": "journal-article",
  "created": {
    "date-parts": [
      [
        2009,
        5,
        26
      ]
    ],
    "date-time": "2009-05-26T20:33:37Z",
    "timestamp": 1243370017000
  },
  "page": "863-866",
  "source": "Crossref",
  "is-referenced-by-count": 46,
  "title": "Anastomosis of the anterior temporal artery to a secondary trunk of the middle cerebral artery for treatment of a giant M1 segment aneurysm",
  "prefix": "10.3171",
  "volume": "76",
  "author": [
    {
      "given": "Joshua B.",
      "family": "Bederson",
      "sequence": "first",
      "affiliation": []
    },
    {
      "given": "Robert F.",
      "family": "Spetzler",
      "sequence": "additional",
      "affiliation": []
    }
  ],
  "member": "1754",
  "reference": [
    {
      "key": "b1",
      "series-title": "Blood Vessels",
      "first-page": "183",
      "article-title": "Development of collaterals in the cerebral circulation.",
      "volume": "28",
      "author": "Coyle",
      "year": "1991"
    },
    {
      "key": "b2",
      "series-title": "Microvascular Surgery.",
      "first-page": "75",
      "article-title": "Patch and bypass in microangieional surgery",
      "author": "Donaghy",
      "year": "1967"
    },
    {
      "key": "b3",
      "series-title": "N Engl J Med",
      "first-page": "1191",
      "article-title": "Failure of extracranial-intracranial arterial bypass to reduce the risk of ischemic stroke. Results of an international randomized trial.",
      "volume": "313",
      "year": "1985"
    },
    {
      "key": "b4",
      "series-title": "Stroke",
      "first-page": "397",
      "article-title": "The International Cooperative Study of Extracranial/Intracranial Arterial Anastomosis (EC/IC Bypass Study): methodology and entry characteristics.",
      "volume": "16",
      "year": "1985"
    },
    {
      "key": "b5",
      "series-title": "Cerebral Revascularization for Stroke.",
      "first-page": "584",
      "article-title": "Results of EC-IC bypass with and without long vein graft",
      "author": "Eguchi",
      "year": "1985"
    },
    {
      "key": "b6",
      "series-title": "Surg Neurol",
      "first-page": "463",
      "article-title": "Vein graft bypass in treatment of giant aneurysm.",
      "volume": "12",
      "author": "Iwabuchi",
      "year": "1979"
    },
    {
      "key": "b7",
      "series-title": "Cerebral Revascularization for Stroke.",
      "first-page": "591",
      "article-title": "Vein interposition grafts for anterior circulation ischemia",
      "author": "Marano",
      "year": "1985"
    },
    {
      "key": "b8",
      "series-title": "J Neurosurg",
      "doi-asserted-by": "publisher",
      "first-page": "802",
      "DOI": "10.3171/jns.1979.50.6.0802",
      "article-title": "Middle meningeal to middle cerebral arterial bypass for cerebral revascularization. Case report.",
      "volume": "50",
      "author": "Miller",
      "year": "1979"
    },
    {
      "key": "b9",
      "series-title": "Clin Neurosurg",
      "first-page": "114",
      "article-title": "Extracranial to intracranial bypass in the treatment of aneurysms.",
      "volume": "32",
      "author": "Peerless",
      "year": "1985"
    },
    {
      "key": "b10",
      "series-title": "Ann Neurol",
      "doi-asserted-by": "publisher",
      "first-page": "231",
      "DOI": "10.1002/ana.410290302",
      "article-title": "Cerebral hemodynamics in ischemic cerebrovascular disease.",
      "volume": "29",
      "author": "Powers",
      "year": "1991"
    },
    {
      "key": "b11",
      "series-title": "Arch Surg",
      "doi-asserted-by": "publisher",
      "first-page": "1578",
      "DOI": "10.1001/archsurg.1981.01380240062009",
      "article-title": "Saphenous vein interposition grafts in the microsurgical treatment of cerebral ischemia.",
      "volume": "116",
      "author": "Samson",
      "year": "1981"
    },
    {
      "key": "b12",
      "series-title": "Eur J Vase Surg",
      "doi-asserted-by": "publisher",
      "first-page": "309",
      "DOI": "10.1016/S0950-821X(88)80006-9",
      "article-title": "The haemodynamic value of external carotid artery collateral blood supply in carotid artery disease.",
      "volume": "2",
      "author": "Sillesen",
      "year": "1988"
    },
    {
      "key": "b13",
      "series-title": "Surg Neurol",
      "first-page": "235",
      "article-title": "Occipital artery-middle cerebral artery anastomosis for cerebral artery occlusive disease.",
      "volume": "2",
      "author": "Spetzler",
      "year": "1974"
    },
    {
      "key": "b14",
      "series-title": "J Neurosurg",
      "doi-asserted-by": "publisher",
      "first-page": "22",
      "DOI": "10.3171/jns.1980.53.1.0022",
      "article-title": "Elective extracranial-intracranial arterial bypass in the treatment of inoperable giant aneurysms of the internal carotid artery.",
      "volume": "53",
      "author": "Spetzler",
      "year": "1980"
    },
    {
      "key": "b15",
      "series-title": "J Neurosurg",
      "doi-asserted-by": "publisher",
      "first-page": "439",
      "DOI": "10.3171/jns.1986.65.4.0439",
      "article-title": "Saphenous vein bypass grafts for giant aneurysms and intracranial occlusive disease.",
      "volume": "65",
      "author": "Sundt",
      "year": "1986"
    },
    {
      "key": "b16",
      "series-title": "J Neurosurg",
      "doi-asserted-by": "publisher",
      "first-page": "458",
      "DOI": "10.3171/jns.1984.61.3.0458",
      "article-title": "Microsurgical anatomy of the proximal segments of the middle cerebral artery.",
      "volume": "61",
      "author": "Umansky",
      "year": "1984"
    },
    {
      "key": "b17",
      "series-title": "Microneurosurgery. II: Clinical Considerations, Surgery of the Intracranial Aneurysms and Results.",
      "first-page": "124",
      "article-title": "Middle cerebral artery aneurysms",
      "author": "Ya\u015fargil",
      "year": "1984"
    },
    {
      "key": "b18",
      "series-title": "Surgery",
      "first-page": "221",
      "article-title": "Microneurosurgical arterial reconstruction.",
      "volume": "67",
      "author": "Ya\u015fargil",
      "year": "1970"
    }
  ],
  "container-title": "Journal of Neurosurgery",
  "original-title": [],
  "link": [
    {
      "URL": "https://thejns.org/view/journals/j-neurosurg/76/5/article-p863.xml",
      "content-type": "text/html",
      "content-version": "vor",
      "intended-application": "text-mining"
    },
    {
      "URL": "https://thejns.org/downloadpdf/journals/j-neurosurg/76/5/article-p863.xml",
      "content-type": "text/html",
      "content-version": "vor",
      "intended-application": "syndication"
    },
    {
      "URL": "https://thejns.org/downloadpdf/journals/j-neurosurg/76/5/article-p863.xml",
      "content-type": "unspecified",
      "content-version": "vor",
      "intended-application": "similarity-checking"
    }
  ],
  "deposited": {
    "date-parts": [
      [
        2023,
        3,
        20
      ]
    ],
    "date-time": "2023-03-20T00:36:56Z",
    "timestamp": 1679272616000
  },
  "score": 1,
  "resource": {
    "primary": {
      "URL": "https://thejns.org/view/journals/j-neurosurg/76/5/article-p863.xml"
    }
  },
  "subtitle": [
    "Case report"
  ],
  "short-title": [],
  "issued": {
    "date-parts": [
      [
        1992,
        5
      ]
    ]
  },
  "references-count": 18,
  "journal-issue": {
    "issue": "5"
  },
  "URL": "http://dx.doi.org/10.3171/jns.1992.76.5.0863",
  "relation": {},
  "ISSN": [
    "0022-3085"
  ],
  "subject": [],
  "published": {
    "date-parts": [
      [
        1992,
        5
      ]
    ]
  }
}