| Title |
Ekstrakranijinės-intrakranijinės jungties operacijos galimybės ir dažnis ištikus išeminiam insultui miego arterijos baseine / |
| Translation of Title |
Extracranial-intracranial bypass operations in cases of ishemic events of the brain. |
| Authors |
Laurikėnas, Kęstutis |
| DOI |
10.15388/LietChirur.2003.2.2418 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija.. Vilnius : Vilniaus universiteto leidykla. 2003, t. 1, Nr. 2, p. 136-143.. ISSN 1392-0995. eISSN 1648-9942 |
| Keywords [eng] |
extracranial-intracranial bypass ; carotid artery occlusion ; stroke ; surgical treatment |
| Abstract [eng] |
Background Surgical correction of insuffitient collateral circulation in cases of internal carotid artery occlusion first was postulated in 1951 by C. M. Fisher. The operative technique of M. G. Yasargil, using the superficial temporal artery as a bypass, is now the most successful surgical operation for cerebral revascularisation. The establishment of extra-intracranial arterial bypass surgery is based on the fact that nature itself in cases of stenosis or occlusion of internal carotid artery creates such a bypass, usually using the ophthalmic artery. But sometimes the patients could benefit from extra-intracranial bypass operation. Our retrospective study discovered a good number of neurologically successful extra-intracranial operations which have been performed in a large number of stroke patients. Results In the Vilnius Emergency Hospital we treated 418 patients with hemispheric stroke (with carotid or middle cerebral artery stenosis or occlusions). Neurologically deteriorated patients with large ischemic changes on CT were treated conservatively. After CT, TCD, Duplex and angiographic investigations we performed 83 carotid endarterectomies (20% of all patients) and only 12 extracranial-intracranial bypasses (3% of all patients) with good postoperative outcomes. Conclusions Good postoperative results were obtained only after a meticulous clinical preoperative selection of stroke patients. Extra-intracranial bypass was suitable in only about 3 per cent of nonembolic hemispheric stroke patients. |
| Published |
Vilnius : Vilniaus universiteto leidykla |
| Type |
Journal article |
| Language |
Lithuanian |
| Publication date |
2003 |
| CC license |
|
