Bypass Graft for Cerebral Revascularization / 대한뇌혈관학회지
Korean Journal of Cerebrovascular Disease
; : 71-76, 2000.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-212376
Responsible library:
WPRO
ABSTRACT
OBJECTIVE:
The authors were performed bypass graft for cerebral revascularization in the treatment of hemodynamic cerebral ischemia and unclippable traumatic aneurysm, which acute sacrifice of the internal carotid artery is necessary. The aim of this study was to assess effectiveness bypass graft for cerebral revascularization.METHOD:
Of 6 patients, Four patients were hemodynamic cerebral ischemia and two patients were traumatic cerebral aneurysm and traumatic carotid-cavernous fistula (CCF). Revascularization was performed external carotid artery (ECA) to middle cerebral artery (MCA) bypass with radial artery (n=1), ECA to MCA bypass with long saphenous vein (n=1), main trunk of superficial temporal artery (STA) to MCA with short saphenous vein (n=2), and internal carotid artery (ICA) to MCA with long saphenous vein (n=2).RESULTS:
There were two graft occlusion, which one is recanalization case of preoperative MCA obstruction and the other is traumatic CCF. Four patients with good patiency through bypass showed significant increase of postoperative cerebral blood flow and good surgical outcome. There was not operative complication except for graft failure of 2 cases.CONCLUSION:
Extracranial to intracranial bypass graft with radial artery or saphenous vein is thought to alternative method for cerebral revascularization in cases with unsuitable STA to bypass, and ICA reconstruction, which acute sacrifice of ICA is necessary.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Saphenous Vein
/
Temporal Arteries
/
Carotid Artery, External
/
Carotid Artery, Internal
/
Intracranial Aneurysm
/
Brain Ischemia
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Cerebral Revascularization
/
Radial Artery
/
Transplants
/
Middle Cerebral Artery
Limits:
Humans
Language:
Korean
Journal:
Korean Journal of Cerebrovascular Disease
Year:
2000
Document type:
Article