Cerebral Revascularization: A Review
作者:
Stephen Onesti,
Robert Solomon,
Donald Quest,
期刊:
Neurosurgery
(OVID Available online 1989)
卷期:
Volume 25,
issue 4
页码: 618-629
ISSN:0148-396X
年代: 1989
出版商: OVID
关键词: Cerebral ischemia;Cerebral revascularization;Extracranial‐intracranial anastomosis
数据来源: OVID
摘要:
&NA;A review of the development and current methods of surgical revascularization of the cerebral circulation is presented. In addition to the conventional superficial temporal artery to middle cerebral artery (STA‐MCA) bypass, the techniques of interposition vein grafting and vertebrobasilar revascularization are discussed. The results and implications of the International Cooperative Study are reviewed. Extracranial‐intracranial (EC‐IC) bypass grafting remains an essential procedure in the treatment of many cerebrovascular conditions, including Moya Moya disease and giant intracranial aneurysms. The efficacy of interposition vein grafts, as well as the EC‐IC bypass in the treatment of vertebrobasilar insufficiency, acute cerebral ischemia, cerebral vasospasm, and multi‐infarct dementia, remains to be determined. Several alternative revascularization procedures, including proximal MCA anastomosis and omental transposition, are in development. (Neurosurgery25:618‐629, 1989)
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