Saphenous vein bypass grafts for giant aneurysms and intracranial occlusive disease

Journal of Neurosurgery
T M SundtN C Fode

Abstract

The authors report their experience with the use of saphenous vein bypass grafts for treating advanced occlusive disease in the posterior circulation (77 patients, all of whom had failed medical management and showed severe ischemic symptoms), deteriorating patients with giant aneurysms of the posterior circulation (nine patients), progressive ischemia in the anterior circulation (26 patients, none of whom had a normal examination), and giant aneurysms in the anterior circulation (20 patients, all of whom presented with mass effect or subarachnoid hemorrhage). Graft patency in the first 65 cases treated was 74%. However, after significant technical changes of vein-graft preparation and construction of the proximal anastomosis, patency in the following 67 cases was 94%. Excellent or good results (including relief of deficits existing prior to surgery) were achieved in 71% of patients with advanced occlusive disease in the posterior circulation, 44% of those with giant aneurysms of the posterior circulation, 58% of those with ischemia of the anterior circulation, and 80% of those with giant aneurysms of the anterior circulation. Mean graft blood flow at surgery in the series was 100 ml/min for posterior circulation grafts and 110...Continue Reading

References

Apr 1, 1978·Journal of Neurosurgery·A A Zeal, A L Rhoton
Jan 1, 1971·Journal of Neurosurgery·W M LougheedH Sandwith-Smyth
Jan 26, 1984·The New England Journal of Medicine·J H ChesebroF J Puga
Sep 1, 1983·Journal of Neurosurgery·J R LittleB Bryerton
Oct 1, 1980·Journal of Neurosurgery·R F SpetzlerM J Likavec

❮ Previous
Next ❯

Citations

Jan 1, 1988·Acta neurochirurgica·F G DiazJ I Ausman
Sep 16, 2008·Neurosurgical Review·Takashi HigaTomokatsu Hori
Sep 9, 2005·Skull Base : Official Journal of North American Skull Base Society ... [et Al.]·Stacey Quintero WolfeJacques J Morcos
Sep 9, 2005·Skull Base : Official Journal of North American Skull Base Society ... [et Al.]·Alfredo Quiñones-HinojosaMichael T Lawton
Sep 22, 2005·Skull Base : Official Journal of North American Skull Base Society ... [et Al.]·David J Langer, Peter Vajkoczy
Jan 7, 2003·Neurologia Medico-chirurgica·Shinya NabikaYuzo Hayashi
Mar 17, 2004·Neurologia Medico-chirurgica·Mohammad A JamousShinji Nagahiro
Mar 17, 2009·Journal of Neurosurgery·Jochem P BremmerCornelis A F Tulleken
May 5, 2009·Neurosurgical Focus·Ali A BaajHarry van Loveren
Feb 16, 2005·Neurosurgical Focus·Jonathan A Friedman, David G Piepgras
Feb 16, 2008·Neurosurgical Focus·R Webster CrowleyAaron S Dumont
Feb 1, 1987·Journal of Neurosurgery·T M Sundt, T M Sundt
Dec 1, 1989·Journal of Neurosurgery·F G DiazJ I Ausman
Jan 1, 1990·Journal of Neurosurgery·L N SekharH D Jho
Dec 1, 1990·Journal of Neurosurgery·O Al-Mefty
Mar 1, 1993·Journal of Neurosurgery·C A TullekenW P Mali
Jan 22, 2005·Journal of Neurosurgery·Masatou KawashimaKiyotaka Fujii
Oct 16, 2012·Journal of Surgical Technique and Case Report·Vignesh K AlamandaRobert J Singer
Apr 8, 2010·Acta neurochirurgica·Sepideh Amin-HanjaniFady T Charbel
Oct 23, 2012·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Sheau Fung Sia, Michael Kerin Morgan
May 24, 2011·World Neurosurgery·Nobuhito Saito
Sep 21, 2010·World Neurosurgery·Wilson P DaughertyGiuseppe L Lanzino

❮ Previous
Next ❯

Methods Mentioned

BETA
PCA
dissection
saphenous
saphenous vein bypass
vein bypass
coronary artery surgery

Related Concepts

Related Feeds

Brain Ischemia

Brain ischemia is a condition in which there is insufficient blood flow to the brain to meet metabolic demand. Discover the latest research on brain ischemia here.

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.