Preoperative detailed evaluation intracranial artery stenosis using three-dimensional visualization analysis reduces the invasiveness of superficial temporal artery-middle cerebral artery bypass
Objectives: Superficial temporal artery (STA) to middle cerebral artery (MCA) bypass surgery is a common treatment for preventing cerebral ischemia in patients with intracranial artery stenosis. The aim of this study was to analyze the surgical outcomes of the STA-MCA bypass procedure, particularly...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Fujita Medical Society
2023-08-01
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| Series: | Fujita Medical Journal |
| Subjects: | |
| Online Access: | https://www.jstage.jst.go.jp/article/fmj/9/3/9_2022-022/_pdf/-char/en |
| _version_ | 1827889012253130752 |
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| author | Riki Tanaka Fuminari Komatsu Kento Sasaki Kyosuke Miyatani Yasuhiro Yamada Yoko Kato Yuichi Hirose |
| author_facet | Riki Tanaka Fuminari Komatsu Kento Sasaki Kyosuke Miyatani Yasuhiro Yamada Yoko Kato Yuichi Hirose |
| author_sort | Riki Tanaka |
| collection | DOAJ |
| description | Objectives: Superficial temporal artery (STA) to middle cerebral artery (MCA) bypass surgery is a common treatment for preventing cerebral ischemia in patients with intracranial artery stenosis. The aim of this study was to analyze the surgical outcomes of the STA-MCA bypass procedure, particularly with regard to the invasiveness of targeted bypass (TB) with preoperative planning using Amira® software.
Methods: Consecutive patients with single STA-MCA bypass performed by a single neurosurgeon from January 2019 to May 2022 were included. The clinical parameters of seven TB patients were compared with those of 11 patients treated with the conventional method (CM).
Results: Compared with CM patients, TB using Amira® software patients had a shorter scalp incision (median [interquartile range]=11.2 [9.7–12.7] cm vs. 16.9 [16.0–17.7] cm, respectively; p=0.004], smaller craniotomy size (11.8 [11.5–14.4] cm2 vs. 20.9 [17.1–22.2] cm2, respectively; p=0.01], shorter surgery duration (201 [195–218] min vs. 277 [229–310] min, respectively; p=0.003], and less intraoperative bleeding (10 [10–20] g vs. 23 [20–50] g, respectively; p=0.033]. However, there were no differences in surgical complications between the two groups.
Conclusions: Detailed preoperative evaluation using Amira® software can reduce the invasiveness of the STA-MCA bypass procedure. |
| first_indexed | 2024-03-12T20:49:04Z |
| format | Article |
| id | doaj.art-520c788c3de644ef9e337d8080027820 |
| institution | Directory Open Access Journal |
| issn | 2189-7247 2189-7255 |
| language | English |
| last_indexed | 2024-03-12T20:49:04Z |
| publishDate | 2023-08-01 |
| publisher | Fujita Medical Society |
| record_format | Article |
| series | Fujita Medical Journal |
| spelling | doaj.art-520c788c3de644ef9e337d80800278202023-08-01T06:12:44ZengFujita Medical SocietyFujita Medical Journal2189-72472189-72552023-08-019320621010.20407/fmj.2022-022Preoperative detailed evaluation intracranial artery stenosis using three-dimensional visualization analysis reduces the invasiveness of superficial temporal artery-middle cerebral artery bypassRiki Tanaka0Fuminari Komatsu1Kento Sasaki2Kyosuke Miyatani3Yasuhiro Yamada4Yoko Kato5Yuichi Hirose6Department of Neurosurgery, Fujita Health University Bantane HospitalDepartment of Neurosurgery, Fujita Health University Bantane HospitalDepartment of Neurosurgery, Fujita Health University Bantane HospitalDepartment of Neurosurgery, Fujita Health University Bantane HospitalDepartment of Neurosurgery, Fujita Health University Bantane HospitalDepartment of Neurosurgery, Fujita Health University Bantane HospitalDepartment of Neurosurgery, Fujita Health University HospitalObjectives: Superficial temporal artery (STA) to middle cerebral artery (MCA) bypass surgery is a common treatment for preventing cerebral ischemia in patients with intracranial artery stenosis. The aim of this study was to analyze the surgical outcomes of the STA-MCA bypass procedure, particularly with regard to the invasiveness of targeted bypass (TB) with preoperative planning using Amira® software. Methods: Consecutive patients with single STA-MCA bypass performed by a single neurosurgeon from January 2019 to May 2022 were included. The clinical parameters of seven TB patients were compared with those of 11 patients treated with the conventional method (CM). Results: Compared with CM patients, TB using Amira® software patients had a shorter scalp incision (median [interquartile range]=11.2 [9.7–12.7] cm vs. 16.9 [16.0–17.7] cm, respectively; p=0.004], smaller craniotomy size (11.8 [11.5–14.4] cm2 vs. 20.9 [17.1–22.2] cm2, respectively; p=0.01], shorter surgery duration (201 [195–218] min vs. 277 [229–310] min, respectively; p=0.003], and less intraoperative bleeding (10 [10–20] g vs. 23 [20–50] g, respectively; p=0.033]. However, there were no differences in surgical complications between the two groups. Conclusions: Detailed preoperative evaluation using Amira® software can reduce the invasiveness of the STA-MCA bypass procedure.https://www.jstage.jst.go.jp/article/fmj/9/3/9_2022-022/_pdf/-char/enbypass surgerycerebral ischemiapreoperative planning |
| spellingShingle | Riki Tanaka Fuminari Komatsu Kento Sasaki Kyosuke Miyatani Yasuhiro Yamada Yoko Kato Yuichi Hirose Preoperative detailed evaluation intracranial artery stenosis using three-dimensional visualization analysis reduces the invasiveness of superficial temporal artery-middle cerebral artery bypass Fujita Medical Journal bypass surgery cerebral ischemia preoperative planning |
| title | Preoperative detailed evaluation intracranial artery stenosis using three-dimensional visualization analysis reduces the invasiveness of superficial temporal artery-middle cerebral artery bypass |
| title_full | Preoperative detailed evaluation intracranial artery stenosis using three-dimensional visualization analysis reduces the invasiveness of superficial temporal artery-middle cerebral artery bypass |
| title_fullStr | Preoperative detailed evaluation intracranial artery stenosis using three-dimensional visualization analysis reduces the invasiveness of superficial temporal artery-middle cerebral artery bypass |
| title_full_unstemmed | Preoperative detailed evaluation intracranial artery stenosis using three-dimensional visualization analysis reduces the invasiveness of superficial temporal artery-middle cerebral artery bypass |
| title_short | Preoperative detailed evaluation intracranial artery stenosis using three-dimensional visualization analysis reduces the invasiveness of superficial temporal artery-middle cerebral artery bypass |
| title_sort | preoperative detailed evaluation intracranial artery stenosis using three dimensional visualization analysis reduces the invasiveness of superficial temporal artery middle cerebral artery bypass |
| topic | bypass surgery cerebral ischemia preoperative planning |
| url | https://www.jstage.jst.go.jp/article/fmj/9/3/9_2022-022/_pdf/-char/en |
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