Postoperative Resolution of 123I-Iomazenil Uptake and Metabolic Rate of Oxygen in the Cerebral Cortex Accompanied by Postoperative Improvement of Cognition in a Patient Undergoing Extracranial-Intracranial Arterial Bypass Surgery for Internal Carotid Artery Occlusion

2011 ◽  
Vol 36 (5) ◽  
pp. 361-362 ◽  
Author(s):  
Kohei Chida ◽  
Kuniaki Ogasawara ◽  
Kenta Aso ◽  
Hiroki Kuroda ◽  
Hideo Saito ◽  
...  
Keyword(s):  
Cerebral Cortex ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Metabolic Rate ◽  
Bypass Surgery ◽  
Internal Carotid ◽  
Artery Occlusion ◽  
Carotid Artery Occlusion ◽  
Arterial Bypass ◽  
Postoperative Improvement

Carotid Artery Occlusion and Ocular Ischemia: Therapy Control with Evoked Potentials

Neurosurgery ◽  
1986 ◽  
Vol 19 (6) ◽  
pp. 1031-1034 ◽  
Author(s):  
Maximilian H. Mehdorn ◽  
Heinz-Eugen Nau ◽  
Michael FÖrster
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Evoked Potentials ◽  
Visual Evoked Potentials ◽  
Internal Carotid ◽  
Artery Occlusion ◽  
Carotid Artery Occlusion ◽  
Therapy Control ◽  
Arterial Bypass

Abstract We present a patient with internal carotid artery occlusion and ischemic oculopathy in whom extracranial-intracranial arterial bypass improved vision. Visual evoked potentials were studied to obtain objective criteria for indication and follow-up evaluation and confirmed that the improved vision was due to improved retinal function. (Neurosurgery 19:1031-1034, 1986)

Treatment of Acute Traumatic Internal Carotid Artery Occlusion with Extracranial-to-Intracranial Arterial Bypass: Case Report

Neurosurgery ◽  
1989 ◽  
Vol 25 (1) ◽  
pp. 90-92 ◽  
Author(s):  
Brian T. Andrews
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Bypass Graft ◽  
Artery Occlusion ◽  
Carotid Artery Occlusion ◽  
High Flow ◽  
Cerebral Hypoperfusion ◽  
Barbiturate Coma ◽  
Arterial Bypass

Abstract Ligation of the cervical internal carotid artery resulted in an acute neurological deficit in the dominant hemisphere of a 35-year-old man who suffered a penetrating injury to the neck. Regional cerebral hypoperfusion was suspected because the ischemic symptoms occurred while the patient was fully heparinized. Immediate institution of a barbiturate coma, volume expansion, and placement of a high-flow extracranial-intracranial arterial bypass graft led to rapid recovery of hemispheric function. High-flow extracranial-intracranial bypass grafts appear to be indicated for the treatment of symptomatic cerebral ischemia in selected cases of acute ligation or occlusion of the extracranial carotid artery.

STA-MCA Bypass Surgery for Internal Carotid Artery Occlusion —Comparative Follow-up Study—

1992 ◽  
Vol 32 (1) ◽  
pp. 5-9 ◽  
Author(s):  
Tatsuya ISHIKAWA ◽  
Nobuyuki YASUI ◽  
Akifumi SUZUKI ◽  
Hiromu HADEISHI ◽  
Fumio SHISHIDO ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Bypass Surgery ◽  
Internal Carotid ◽  
Artery Occlusion ◽  
Carotid Artery Occlusion ◽  
Internal Carotid Artery Occlusion ◽  
Follow Up Study

Results of extracranial-intracranial arterial bypass for bilateral carotid occlusion

1985 ◽  
Vol 63 (4) ◽  
pp. 521-525 ◽  
Author(s):  
Mohamed El-Fiki ◽  
Norman L. Chater ◽  
Philip R. Weinstein
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Artery Bypass ◽  
Artery Occlusion ◽  
Carotid Artery Occlusion ◽  
Internal Carotid Artery Occlusion ◽  
Bypass Procedure ◽  
Arterial Bypass ◽  
Bilateral Carotid

✓ The results of superficial temporal to middle cerebral artery bypass surgery for bilateral internal carotid artery occlusion were reviewed in 39 patients. Preoperative symptoms included recurrent transient ischemic attacks (TIA's) in 31 patients (80%) and mild or moderate stroke in 15 (29%). Deficits were unilateral in 23 cases and bilateral in 14. Dementia or personality changes were observed in 19 patients (49%). Operative morbidity occurred in six of 39 cases and was neurological in one; the surgical mortality rate was 8% (three of 39 patients), including two cases of cerebral hemorrhage. The outcome was good or excellent (relief of TIA's and reduction of neurological deficit) in 82% of patients over a follow-up period of 3 to 139 months. Five patients had a late postoperative stroke, which occurred in the unoperated hemisphere in each case; one patient had an ipsilateral TIA 6 years after the bypass procedure. These results suggest that an extracranial-intracranial arterial bypass procedure to augment collateral cerebral blood flow can be performed safely in patients with bilateral internal carotid artery occlusion and may be associated with relief of ischemic symptoms. Future studies may document a role for this procedure in the prevention of stroke.

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