2024-03-29T11:53:31Z
https://soar-ir.repo.nii.ac.jp/oai
oai:soar-ir.repo.nii.ac.jp:00003709
2022-12-14T03:49:23Z
461:462
Emergency EC-IC bypass for symptomatic atherosclerotic ischemic stroke
Horiuchi, Tetsuyoshi
Nitta, Junpei
Ishizaka, Shigetoshi
Kanaya, Kohei
Yanagawa, Takao
Hongo, Kazuhiro
The original publication is available at www.springerlink.com
Anastomosis
Athero-occlusive disease
Extracranial-intracranial bypass
Revascularization
Previous studies have shown that extracranial-intracranial (EC-IC) bypass surgery has no preventive effect on subsequent ipsilateral ischemic stroke in patients with symptomatic atherosclerotic internal carotid occlusion and hemodynamic cerebral ischemia. A few studies have assessed whether an urgent EC-IC bypass surgery is an effective treatment for main trunk stenosis or occlusion in acute stage. The authors retrospectively reviewed 58 consecutive patients who underwent urgent EC-IC bypass for symptomatic internal carotid artery or the middle cerebral artery stenosis or occlusion between January 2003 and December 2011. Clinical characteristics and neuroimagings were evaluated and analyzed. Based on preoperative angiogram, responsible lesions were the internal carotid artery in 19 (32.8 %) patients and the middle cerebral artery in 39 (67.2 %). No hemorrhagic complication occurred. Sixty-nine percent of patients showed improvement of neurological function after surgery, and 74.1 % of patients had favorable outcome. Unfavorable outcome was associated with insufficient collateral flow and new infarction after bypass surgery.
Article
NEUROSURGICAL REVIEW. 36(4):559-564 (2013)
SPRINGER
2013-10
eng
journal article
AM
http://hdl.handle.net/10091/17630
https://soar-ir.repo.nii.ac.jp/records/3709
https://pubmed.ncbi.nlm.nih.gov/23821132
23821132
https://doi.org/10.1007/s10143-013-0487-5
10.1007/s10143-013-0487-5
0344-5607
AA00324143
NEUROSURGICAL REVIEW
36
4
559
564
https://soar-ir.repo.nii.ac.jp/record/3709/files/Emergency_EC-IC_bypass_symptomatic_atherosclerotic.pdf
application/pdf
494.2 kB
2015-09-24