The use of high-flow extracranial-intracranial artery bypass in pathology of the cerebral and brachiocephalic arteries: technical features and surgical outcomes

Zhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko
A V DubovoyA O Sosnov

Abstract

Poor outcomes of surgical treatment for complex cerebral aneurysms due to the development of cerebral ischemia were the cause to use cerebral revascularization surgery for this pathology. the study objective was to master a high-flow extracranial-intracranial (EC-IC) artery bypass technique and evaluate its application in surgical treatment of complex and giant cerebral aneurysms as well as complex lesions of the brachiocephalic arteries. Fifty two patients underwent high-flow IC-EC bypass surgery; of these, 34 patients had complex cerebral aneurysms, and 18 patients had complex stenotic occlusive lesions of the brachiocephalic arteries. After bypass placement, the patients with aneurysms underwent different variants of aneurysm exclusion (trapping or proximal clipping/ligation of the parent artery). All patients underwent follow-up studies of the bypass function and clinical condition in the early postoperative period and 6 and 12 months after surgery. High-flow IC-EC bypass surgery is routinely used in clinical practice of the Novosibirsk Federal Center of Neurosurgery. Fifty one out of the 52 patients were followed-up in a range of 4 to 56 months. According to the direct or CT angiography data, bypasses functioned in 51 (98....Continue Reading

Citations

Jan 1, 1990·Journal of Neurosurgery·Laligam N SekharH D Jho
Jan 1, 1971·Journal of Neurosurgery·W M LougheedH Sandwith-Smyth
Sep 1, 1980·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·U P FischA Senning
Oct 1, 1980·Journal of Neurosurgery·Robert F SpetzlerM J Likavec
Nov 1, 1980·Journal of Neurosurgery·Robert F SpetzlerM T Modic
Nov 1, 1996·Surgical Neurology·Cees A F TullekenW P Mali
Sep 8, 2005·Neurosurgery·Jeroen HendrikseJeroen van der Grond
Sep 9, 2005·Skull Base : Official Journal of North American Skull Base Society ... [et Al.]·Jorge MuraEvandro de Oliveira
Jul 1, 1996·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Michael Kerin MorganM J Day
Apr 24, 2012·Neurocirugía·Ana Rodríguez-HernándezMichael T Lawton
Oct 23, 2012·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Sheau Fung Sia, Michael Kerin Morgan
Apr 2, 2013·World Neurosurgery·Jon Berg-JohnsenIver A Langmoen
Nov 2, 2016·Zhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko·V E GuzhinA V Cherepanov

Related Concepts

Vasculitis
Complication, Hemorrhage
Study
Arterial System
Entire Cranial Nerve
Follow-up
Cranial Nerves
Pseudocoarctation
Complex (molecular entity)
STA-MCA Bypass

Related Feeds

Aneurysm

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

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.

Carotid Artery Diseases

Carotid artery disease is a group of pathological conditions of the carotid artery. Discover the latest research on carotid artery disease here.