Urgent extracranial-intracranial bypass in the treatment of acute hemodynamic ischemic stroke: case report
Jazyk angličtina Země Německo Médium print-electronic
Typ dokumentu kazuistiky, časopisecké články
PubMed
23307304
DOI
10.1055/s-0032-1331381
Knihovny.cz E-zdroje
- MeSH
- arteria cerebri media chirurgie MeSH
- arteriae temporales chirurgie MeSH
- cévní mozková příhoda terapie MeSH
- elektroencefalografie MeSH
- ischemie mozku terapie MeSH
- karotická endarterektomie MeSH
- lidé MeSH
- mozková angiografie MeSH
- mozkový krevní oběh fyziologie MeSH
- neurochirurgické výkony metody MeSH
- počítačová rentgenová tomografie MeSH
- revaskularizace mozku MeSH
- senioři MeSH
- somatosenzorické evokované potenciály MeSH
- stenóza arteria carotis chirurgie MeSH
- výsledek terapie MeSH
- Check Tag
- lidé MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
Extracranial-intracranial (EC-IC) bypass surgery is performed to allow flow augmentation in selected cases of occlusive cerebrovascular disease. The majority of EC-IC bypasses are described as an elective procedure in the prevention of hemodynamic ischemic stroke. There is only limited and controversial experience of superficial temporal artery to middle cerebral artery (STA-MCA) anastomosis performed under urgent circumstances as a treatment of acute cerebral ischemia. We describe a unique case of a 75-year-old patient presenting with acute progressive hemodynamic ischemia after carotid endarterectomy (CEA), which developed contralaterally to the performed CEA in the region of chronic internal carotid artery (ICA) occlusion. Urgent performance of a standard STA-MCA bypass rapidly improved the cerebral hemodynamic and had an excellent therapeutic effect. The patient had recovered completely within 4 weeks of surgery. The role of urgent EC-IC bypass for stroke treatment is discussed.
Citace poskytuje Crossref.org
Delayed microsurgical revascularization in an acute ischemic stroke based on perfusion study
