Book contents
- Integrated Management of Complex Intracranial Lesions
- Integrated Management of Complex Intracranial Lesions
- Copyright page
- Dedication
- Contents
- Contributors
- Foreword
- Section I Endoscopic Endonasal (EN) Combined Approaches
- Section II Open Combined Approaches
- Chapter 6 Combined Transcranial Approach for Tumor Resection and Anterior Circulation Vascular Bypass
- Chapter 7 Hybrid/Combined Strategies for Vestibular Schwannomas
- Chapter 8 Transchoroidal, Subchoroidal, and Combined Approaches to the Third Ventricle
- Chapter 9 Combined Orbitofrontal Craniotomy and Direct Orbital Decompression
- Chapter 10 Transbasal and Transfacial Approach for Paranasal and Anterior Cranial Fossa Tumors
- Chapter 11 Combined Middle Fossa Craniotomy and Mastoidectomy for Cerebrospinal Fluid Leak Repair and Encephalocele Resection
- Chapter 12 Transcochlear and Extended/Combined Transcochlear Approaches for Complex Tumors of the Skull Base and Posterior Cranial Fossa
- Chapter 13 Combined Retrosigmoid and Orbitozygomatic Approach
- Chapter 14 Combined Retrosigmoid and Limited Anterior Petrosectomy (“Reverse Petrosectomy”)
- Chapter 15 Combined Suboccipital Craniotomy and Neck Dissection
- Chapter 16 Combined Petrosal Approach
- Chapter 17 Combined Keyhole Paramedian Supracerebellar-Transtentorial Approach
- Chapter 18 Combined Multi-portal “Pull-Through” Keyhole Craniotomy
- Chapter 19 Combined Keyhole Craniotomies for Multifocal or Multiple Lesions
- Chapter 20 Combined Microsurgical and Endovascular Treatment of Cerebrovascular and Skull Base Pathology
- Chapter 21 Combined Transsylvian-Subtemporal Approach to Anterior Circulation and Basilar Apex Aneurysms
- Index
- References
Chapter 6 - Combined Transcranial Approach for Tumor Resection and Anterior Circulation Vascular Bypass
from Section II - Open Combined Approaches
Published online by Cambridge University Press: 05 October 2021
Edited by
Book contents
- Integrated Management of Complex Intracranial Lesions
- Integrated Management of Complex Intracranial Lesions
- Copyright page
- Dedication
- Contents
- Contributors
- Foreword
- Section I Endoscopic Endonasal (EN) Combined Approaches
- Section II Open Combined Approaches
- Chapter 6 Combined Transcranial Approach for Tumor Resection and Anterior Circulation Vascular Bypass
- Chapter 7 Hybrid/Combined Strategies for Vestibular Schwannomas
- Chapter 8 Transchoroidal, Subchoroidal, and Combined Approaches to the Third Ventricle
- Chapter 9 Combined Orbitofrontal Craniotomy and Direct Orbital Decompression
- Chapter 10 Transbasal and Transfacial Approach for Paranasal and Anterior Cranial Fossa Tumors
- Chapter 11 Combined Middle Fossa Craniotomy and Mastoidectomy for Cerebrospinal Fluid Leak Repair and Encephalocele Resection
- Chapter 12 Transcochlear and Extended/Combined Transcochlear Approaches for Complex Tumors of the Skull Base and Posterior Cranial Fossa
- Chapter 13 Combined Retrosigmoid and Orbitozygomatic Approach
- Chapter 14 Combined Retrosigmoid and Limited Anterior Petrosectomy (“Reverse Petrosectomy”)
- Chapter 15 Combined Suboccipital Craniotomy and Neck Dissection
- Chapter 16 Combined Petrosal Approach
- Chapter 17 Combined Keyhole Paramedian Supracerebellar-Transtentorial Approach
- Chapter 18 Combined Multi-portal “Pull-Through” Keyhole Craniotomy
- Chapter 19 Combined Keyhole Craniotomies for Multifocal or Multiple Lesions
- Chapter 20 Combined Microsurgical and Endovascular Treatment of Cerebrovascular and Skull Base Pathology
- Chapter 21 Combined Transsylvian-Subtemporal Approach to Anterior Circulation and Basilar Apex Aneurysms
- Index
- References
Summary
Skull base tumors are often intimately involved with critical vascular structures, which can be a barrier to maximal resection. In these cases, cerebral revascularization, including vascular bypass, can be an important adjunct technique. The feasibility of bypass depends on patient history, the anticipated tumor pathology, and characteristics of the cerebral vasculature. These procedures require considerable experience and expertise, and their indications must be well considered before performing them. A number of imaging and interventional studies can help establish the utility and feasibility of bypass preoperatively. Emerging technologies will help to refine the indications and streamline the performance of these challenging procedures. Here, we discuss the historical basis of bypass in skull base tumor surgery, indications in the modern era, the microanatomy of common bypasses, patient selection, and endovascular options for revascularization.
- Type
- Chapter
- Information
- Integrated Management of Complex Intracranial LesionsOpen, Endoscopic, and Keyhole Techniques, pp. 51 - 66Publisher: Cambridge University PressPrint publication year: 2021
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