Academic Journal
Superficial-Temporal-Artery-To-Middle-Cerebral-Artery Bypass in Cerebrovascular Occlusive Disease and Hemodynamic-Related Ischemia: Illustrative Case and Literature Review
| العنوان: | Superficial-Temporal-Artery-To-Middle-Cerebral-Artery Bypass in Cerebrovascular Occlusive Disease and Hemodynamic-Related Ischemia: Illustrative Case and Literature Review |
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| المؤلفون: | Gustavo Rassier Isolan, Ricardo de Andrade Caracante, João Paulo Mota Telles, Nícollas Nunes Rabelo, Eberval Gadelha Figueredo |
| المصدر: | Brazilian Neurosurgery, Vol 40, Iss 02, Pp e130-e136 (2021) |
| بيانات النشر: | Thieme Revinter Publicações Ltda., 2021. |
| سنة النشر: | 2021 |
| المجموعة: | LCC:Medicine LCC:Surgery |
| مصطلحات موضوعية: | extracranial-intracranial bypass, middle cerebral artery, superficial temporal artery, microvascular anastomosis, cerebrovascular occlusive disease, Medicine, Surgery, RD1-811 |
| الوصف: | Stroke is the third most common cause of death worldwide. About 10% to 15% of strokes related to the territory of the carotid artery are associated with its complete occlusion. There is an important subgroup of patients with cerebrovascular occlusive diseases who might benefit from an external-carotid-to-internal-carotid bypass. In the present study, we report a case of a 53-year-old male patient with stenosis of the M2 branch of the middle cerebral artery (MCA), with a history of ∼ 20 episodes of transient ischemic accidents (TIA)s, in whom an anastomosis of the M4 branch of the superficial temporal artery-MCA was performed. The patient was discharged in three days, and in the two years of follow-up, they were no more TIAs. We also conducted a review of the literature on cerebrovascular occlusive disease and extracranial-intracranial bypass surgery. New methods to evaluate cerebral hemodynamics made it possible to classify a new subgroup of patients with symptomatic cerebrovascular disease and documented cerebrovascular compromise in whom the drug therapy fails, who can benefit from the extracranial-intracranial bypass. Our case report illustrates the advantages of revascularization in these selected patients. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 0103-5355 2359-5922 71061584 |
| Relation: | https://doaj.org/toc/0103-5355; https://doaj.org/toc/2359-5922 |
| DOI: | 10.1055/s-0040-1721335 |
| URL الوصول: | https://doaj.org/article/f749d71061584098aaaf7af1a3974a5e |
| رقم الانضمام: | edsdoj.f749d71061584098aaaf7af1a3974a5e |
| قاعدة البيانات: | Directory of Open Access Journals |
| تدمد: | 01035355 23595922 71061584 |
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| DOI: | 10.1055/s-0040-1721335 |