Microvascular bypass procedures for ischemic cerebrovascular disease.

S L Giannotta
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Abstract

Extracranial to intracranial (EC/IC) microvascular bypass grafts are being performed with increasing frequency for the treatment of cerebral ischemia due to "inaccessible" cerebrovascular disease including carotid artery occlusion and middle cerebral artery occlusion and stenosis. Patency rates, complications, and indications for superficial temporal to middle cerebral artery (STA-MCA) bypass are discussed. EC/IC bypasses can reduce or completely arrest TIAs in selected patients. The long term effect on stroke protection of a functioning STA-MCA bypass is now the subject of multinational controlled investigation.

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缺血性脑血管病的微血管搭桥手术。
颅外到颅内(EC/IC)微血管旁路移植越来越多地用于治疗由于“不可达”脑血管疾病(包括颈动脉闭塞和大脑中动脉闭塞和狭窄)引起的脑缺血。本文讨论了颞浅至大脑中动脉(STA-MCA)旁路手术的通畅率、并发症和适应症。在选定的患者中,EC/IC旁路可以减少或完全停止tia。功能正常的STA-MCA旁路对卒中保护的长期影响现在是多国对照调查的主题。
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