Korean J Cerebrovasc Dis.
2002 Sep;4(2):119-123.
Extracranial-Intracranial Bypass Surgery: Surgical Techniques and Perioperative Management
- Affiliations
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- 1Department of Neurosurgery, School of Medicine, Wonkwang University, Iksan, Korea.
Abstract
- Options for extracranial-intracranial bypass surgery of anterior circulation include saphenous vein grafts, occipital to middle cerebral artery (MCA) anastomosis, and most commonly superficial temporal artery (STA) to MCA anastomosis. Although less common, posterior circulation revascularization has been successfully peformed. The operative techniques and perioperative management such as anesthetic techniques and electrophysiologic monitoring are reviewed. Finally the author's surgical experiences of STA-MCA anastomosis in 30 patients with symptomatic internal carotid artery or MCA stenoocclusion are reported.
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