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Some say open vascular neurosurgery is fully matured, stagnant. Middle communicating artery exemplifies why that’s not true. It demonstrates 4th generation bypass concept, novel end-to-end reimplantation of M2 trunks, innovation. We are the authors of our future - keep evolving!
Contralateral supracerebellar-transtentorial approach is the answer for thalamic cavernomas that can’t be reached any other way! Transinsular & transventricular won't work. I tweaked midline SCIT to extend lateral reach + gravity retracts cbl to extend up. https://t.co/yCMb5ebxHk
You need to see this. The “middle communicating artery” is a bypass invention joining MCA trunks after trapping MCA bifurcation aneurysm to distribute flow from a double-barrel STA-MCA bypass. Replicating Mother Nature’s PCom and ACom in the MCA territory. https://t.co/yCMb5ebxHk
We pride ourselves on high case volume @BarrowNeuro. In times of COVID & cancelled elective surgery, we are maximizing learning with each case by double scrubbing, squeezing out every lesson, and teaching intensely - e.g., this ruptured anterior communicating aneurysm #Update12