Extra-Intracranial Microvascular Anastomosis with the Arteria Occipitalis: Indications and Operative Technique

  • S. Vogel
  • R. R. Unger
Conference paper
Part of the Advances in Neurosurgery book series (NEURO, volume 13)

Abstract

There are two reasons why we should perform microvascular anastomosis with the a. occipitalis and not with the a. cerebri media. Firstly there is a disturbance in the vertebrobasilar circulation. Secondly there is an insufficient blood flow in the a. temporalis superficialis and we need another artery for a microvascular anastomosis with the a. cerebri media and/or a. cerebri posterior and the a. cerebelli superior. Evidence of occlusion or stenosis with hemodynamic efficacy in the a. vertebralis, a. cerebelli inferior posterior, a. basilaris, and a. cerebri posterior is an indication for a microvascular anastomosis. This is only possible with the a. occipitalis if strain between the anastomosed arteries is avoided.

Keywords

Ischemia Neurol Dura 

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Copyright information

© Springer-Verlag Berlin Heidelberg 1985

Authors and Affiliations

  • S. Vogel
    • 1
  • R. R. Unger
    • 1
  1. 1.Neurochirurgische Abteilung der Chirurgischen Klinik im Bereich Medizin (Charité)Humboldt Universität zu BerlinBerlinGermany

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