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Related Experiment Videos

The "bonnet bypass". Case report

R F Spetzler, R A Roski, R S Rhodes

    Journal of Neurosurgery
    |November 1, 1980
    PubMed
    Summary
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    A novel saphenous vein bypass graft successfully rerouted blood flow from the superficial temporal artery to the middle cerebral artery. This innovative surgical technique ensured adequate cerebral perfusion when ipsilateral donor arteries were unavailable.

    Area of Science:

    • Neurosurgery
    • Vascular Surgery
    • Cerebrovascular Surgery

    Background:

    • Cerebral artery occlusion necessitates alternative revascularization strategies.
    • Saphenous vein grafts offer a viable option for cerebrovascular bypass.
    • Donor artery availability is a critical factor in bypass surgery planning.

    Observation:

    • A patient required left common carotid artery occlusion.
    • An ipsilateral donor artery was unavailable for bypass.
    • A contralateral superficial temporal artery to ipsilateral middle cerebral artery saphenous vein bypass was performed.

    Findings:

    • The saphenous vein bypass graft provided a functional conduit for blood flow.
    • The bypass remained patent and effective eight months after the procedure.

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  • Successful revascularization was achieved despite donor artery limitations.

    • Implications:

    • This technique expands options for complex cerebrovascular reconstructions.
    • Contralateral artery bypass using saphenous vein is a feasible alternative.
    • Effective bypass grafting can improve outcomes in patients with limited donor vessels.