Cerebral Revascularization Center

The USC Cerebral Revascularization Center at Keck Medicine of USC specializes in the use of bypass strategies to treat complex diseases such as moyamoya disease, giant or complex cerebral aneurysms, chronic ischemic disease and other rare conditions.

Our program is unique in its expertise in using bypass surgery to solve complex intracranial problems. We are focused on the patient’s functional recovery and aim to prevent disability, maintain quality of life and whenever possible correct any functional gaps that exist from previous strokes. Our team includes expert microvascular surgeons from neurosurgery and plastic surgery. We have a robust surgical team that includes neuroanesthesiologists, nurses, monitoring technicians and scrub technicians who have extensive experience in the techniques required to successfully perform these procedures. Our surgical teams work in concert to reduce surgical time and improve outcomes.

Our treatment strategies are tailored to individual cases based on the patient’s functional status, current symptoms and pathology. Our team has pioneered the use of flow-through flaps in the treatment of complex intracranial disease. These bypasses maintain blood flow to healthy tissue that can be used for direct and indirect revascularization. We also have described unique intracranial bypass techniques that connect healthy vessels within the brain side-to-side in a sequential fashion to treat complex aneurysms.

Treatments

Superficial temporal artery (STA) to middle cerebral artery (MCA) bypass
EDAS (Encephalo-duro-arterial synangiosis)
Extracranial to intracranial bypass
Intracranial to intracranial bypass
Flow-through free flap combined revascularization
Flow-through pedicle flap combined revascularization
Arborization bypass

Conditions

Moyamoya disease/syndrome
Giant/complex cerebral aneurysms
Blister aneurysms
Chronic cerebral ischemic disease

Patient Stories

USC stroke patient completes L.A. Marathon

A former patient at the University of Southern California (USC) Comprehensive Stroke and Cerebrovascular Center at Keck Medicine of USC ran the Los Angeles Marathon on Feb. 14, accompanied by the treatment team that saved her life…
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The Keck Effect: More Leisure Time

When Marco Mejia stepped out of a movie theater one night with an excruciating headache, he didn’t know it would be the start of a terrifying health battle.
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Overall physician rating

Cerebral Revascularization Center Rating

4.9out of 5

144 Ratings

32 Comments

What are patients saying about us

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4.9out of 5(144 Ratings, 32 Comments)

Apr 1, 2021

Dr. Giannotta did an excellent job listening to all my concerns and addressing them appropriately and clearly. his office staff always does an amazing job with answering and scheduling my appointments

Review for STEVEN L GIANNOTTA MD