Document Detail

Cerebral revascularization by EC-IC bypass--present status.
MedLine Citation:
PMID:  18496948     Owner:  NLM     Status:  MEDLINE    
The Extra-Intracranial (EC-IC) arterial Bypass = EIAB has been proposed by Yasargil and Donaghy in 1967 to bypass an occlusive process in the arteries supplying the brain that is not accessible surgically in another way. Following a rise in the number of procedures performed annually worldwide, a sharp decline followed after the International EC-IC Bypass Study had shown that the addition of EIAB did not improve the long-term results in the study population compared to best medical therapy by aspirin alone. On the basis of a better understanding of the origin of cerebral ischemic events, more precise indications have been developed targeting to improve hemodynamic insufficiency, by surgically adding an extracranial arterial supply. Furthermore, technical improvements of the procedure allow more deliberate indication for EIAB, e.g. using high-flow bypass while performing an "occlusion-free" anastomosis. Also, variations of the technique of encephalo-myo-synangiosis for Moya-Moya disease patients allow additional blood supply to the brain hemispheres.
H M Mehdorn
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Acta neurochirurgica. Supplement     Volume:  103     ISSN:  0065-1419     ISO Abbreviation:  Acta Neurochir. Suppl.     Publication Date:  2008  
Date Detail:
Created Date:  2008-05-23     Completed Date:  2008-07-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100962752     Medline TA:  Acta Neurochir Suppl     Country:  Austria    
Other Details:
Languages:  eng     Pagination:  73-7     Citation Subset:  IM    
Department of Neurosurgery, University of Kiel Hospitals, Kiel, Germany.
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MeSH Terms
Carotid Artery Diseases / surgery*
Cerebral Revascularization / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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