Document Detail

Extracranial-intracranial arterial bypass and basilar artery ligation in the treatment of giant basilar artery aneurysms.
MedLine Citation:
PMID:  6888699     Owner:  NLM     Status:  MEDLINE    
Two patients with giant aneurysms of the basilar artery treated with prophylactic extracranial-intracranial arterial bypass (EIAB) to the rostral brain stem before basilar artery ligation are presented. In both cases, the bypass provided considerable collateral flow to the upper basilar, posterior cerebral, and superior cerebellar arteries. Basilar artery ligation has been shown to be an effective, albeit dangerous, means of treating giant aneurysms of the basilar artery. The risk of significant brain stem ischemia after ligation is at least 30%. EIAB to the rostral brain stem should be considered whenever basilar artery ligation is performed, especially in cases where angiography demonstrates poor collateral circulation to the distal basilar artery.
L N Hopkins; J L Budny; D Castellani
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurosurgery     Volume:  13     ISSN:  0148-396X     ISO Abbreviation:  Neurosurgery     Publication Date:  1983 Aug 
Date Detail:
Created Date:  1983-10-28     Completed Date:  1983-10-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  189-94     Citation Subset:  IM    
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MeSH Terms
Basilar Artery / surgery*
Cerebral Angiography
Cerebral Revascularization*
Cerebrovascular Circulation
Collateral Circulation
Intracranial Aneurysm / surgery*
Middle Aged

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

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