Failure of extracranial-intracranial arterial bypass in acute middle cerebral artery occlusion: case report

Extracranial-intracranial arterial bypass procedures provide important augmentation of collateral circulation to cortical areas rendered potentially ischemic by therapeutic occlusion of major branches of the circle of Willis. Although the case studies reported to date in general reflect positively o...

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Veröffentlicht in:Neurosurgery 1980-02, Vol.6 (2), p.185-8
Hauptverfasser: Samson, D S, Neuwelt, E A, Beyer, C W, Ditmore, Q M
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creator Samson, D S
Neuwelt, E A
Beyer, C W
Ditmore, Q M
description Extracranial-intracranial arterial bypass procedures provide important augmentation of collateral circulation to cortical areas rendered potentially ischemic by therapeutic occlusion of major branches of the circle of Willis. Although the case studies reported to date in general reflect positively on this use of the bypass procedure, this report of a patient who failed to tolerate acute middle cerebral artery occlusion despite the presence of a patent superficial temporal-middle cerebral artery branch anastomosis points up several of the practical and theoretical limitations of this therapeutic approach. Certain modifications of the timing of the bypass procedure, the selection of donor and recipient arteries, and the mechanics of intracranial arterial occlusion may allow a wider application of extracranial-intracranial arterial bypass in this therapeutic setting.
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subjects Acute Disease
Aged
Carotid Artery, Internal - surgery
Cerebral Arteries - surgery
Cerebral Infarction - etiology
Cerebral Infarction - prevention & control
Cerebral Revascularization - adverse effects
Cerebral Revascularization - methods
Humans
Intracranial Aneurysm - surgery
Male
Postoperative Complications - prevention & control
Temporal Arteries - surgery
title Failure of extracranial-intracranial arterial bypass in acute middle cerebral artery occlusion: case report
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