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Extracranial-Intracranial Bypass Surgery

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Advances in Surgery for Cerebral Stroke

Abstract

Ischemic cerebrovascular disease may be due to embolism, hemodynamic compromise, or small vessel occlusive disease. The extracranial-intracranial (EC-IC) bypass surgery was introduced as a treatment for the hemodynamic causes of cerebral ischemia in 1967. It was based on the logical assumption that the brain is like other organs in the body and that symptoms caused by hypoperfusion to a region can be prevented by increasing the blood flow to that region. In the EC-IC bypass operation, blood flow is improved distal to the occluded or stenotic artery, thereby increasing the perfusion of the ischemic areas.

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References

  1. Ausman JI, Diaz FG (1986) Critique of the EC-IC bypass study. Surg Neurol 26:218–221

    Article  PubMed  CAS  Google Scholar 

  2. Barnett HJM, Fox A, Hachinski V, et al (1986) Further conclusions from the extracranial-intracranial bypass trial. Surg Neurol 26:227–235

    Article  PubMed  CAS  Google Scholar 

  3. Committee of the American Association of Neurological Surgeons (1987) The extracranial-intracranial bypass study. NEJM 316:817–820

    Article  Google Scholar 

  4. Dudley HAF (1987) Extracranial-intracranial bypass, one; clinical trials, nil. Br Med J 294:1501–1502

    Article  CAS  Google Scholar 

  5. EC-IC Bypass Study Group (1985) Failure of extracranial-intracranial bypass to reduce the risk of ischemic stroke. Results of an international randomized study. NEJM 313:1191–1200

    Google Scholar 

  6. EC-IC Bypass Study Group (1985) The International Cooperative Study of extracranial-intracranial arterial anastomoses (EC/IC bypass study): Methodology and entry characteristics. Stroke 16:397–406

    Article  Google Scholar 

  7. Fox AJ, Taylor DW, Peerless SJ (1985) Preexisting collateral pathways: A factor determining success in EC-IC bypass surgery? In: Handa H, Kikuchi H, Yonekawa Y (eds) Anastomoses for cerebral ischemia. Igaku-Shoin, New York, pp 153–157

    Google Scholar 

  8. Jones TH, Morawetz RB, Crowell RM, et al. (1981) Threshholds of focal cerebral ischemia in awake monkeys. J Neurosurg 54:773–782

    Article  PubMed  CAS  Google Scholar 

  9. Latchaw RE, Ausman JI, Lee MC (1979) Superficial temporal-middle cerebral artery bypass: A detailed analysis of multiple pre-and postoperative angiograms in 40 consecutive patients. J Neurosurg 51:455–465

    Article  PubMed  CAS  Google Scholar 

  10. Relman A (1987) The extracranial-intracranial arterial bypass study-what have we learned? NEJM 316:809–810

    Article  PubMed  CAS  Google Scholar 

  11. Sundt T (1987) Was the international randomized trial of extracranial-intracranial arterial bypass representative of the population at risk? NÉJM 316:816–816

    Google Scholar 

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© 1988 Springer Japan

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Ausman, J.I., Diaz, F.G., Sadasivan, B. (1988). Extracranial-Intracranial Bypass Surgery. In: Suzuki, J. (eds) Advances in Surgery for Cerebral Stroke. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68314-8_29

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  • DOI: https://doi.org/10.1007/978-4-431-68314-8_29

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-68316-2

  • Online ISBN: 978-4-431-68314-8

  • eBook Packages: Springer Book Archive

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