دورية أكاديمية
Indications and Outcomes of Prophylactic and Therapeutic Extracranial-to-intracranial Arterial Bypass for Cerebral Revascularization
| العنوان: | Indications and Outcomes of Prophylactic and Therapeutic Extracranial-to-intracranial Arterial Bypass for Cerebral Revascularization |
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| المؤلفون: | Emre Gazyakan, MD, MSc, Ching-Yi Lee, MD, Chieh-Tsai Wu, MD, Chung-Kan Tsao, MD, Randall Craft, MD, Steven L. Henry, MD, Ming-Huei Cheng, MD, MBA, Shih-Tseng Lee, MD |
| المصدر: | Plastic and Reconstructive Surgery, Global Open, Vol 3, Iss 4, p e372 (2015) |
| بيانات النشر: | Wolters Kluwer, 2015. |
| سنة النشر: | 2015 |
| المجموعة: | LCC:Surgery |
| مصطلحات موضوعية: | Surgery, RD1-811 |
| الوصف: | Background: Extracranial-to-intracranial (EC-IC) arterial bypass is a technically demanding procedure used to treat complex cerebral artery diseases. The indications, proper surgical techniques, and outcomes of this procedure have been under debate over the recent decades. Methods: Between January 2004 and December 2012, 28 patients, including patients with cerebral artery occlusion, intracranial aneurysm, cranial base tumor, and Moyamoya disease, underwent EC-IC bypass. Patients’ records were retrospectively reviewed for demography, indications, complications, high-flow versus low-flow bypass, patency rate of bypass, and neurological outcome. The patients were sorted into prophylactic (n = 16) and therapeutic (n = 12) groups based on the preoperative presentation of their neurological symptoms. Follow-up evaluation was performed at a mean of 32.7 ± 24.3 months. Results: The overall patency rate of bypass was 100%, the postoperative stroke rate was zero, and the surgical complication rate was 14.3%. There was no significant difference in the bypass patency rate between the 2 groups or between the high-flow and low-flow bypass patients. Patients who underwent prophylactic bypass had minimal surgical and total complications (P = 0.03 and P < 0.01, respectively) and a better neurological outcome. Surgical complications were more common in patients who underwent therapeutic bypass (25%). Conclusions: The collaboration of neurosurgeons and plastic surgeons in performing EC-IC bypass can result in excellent outcomes with a high bypass patency rate and few complications, particularly for prophylactic EC-IC bypass. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2169-7574 00000000 |
| Relation: | http://journals.lww.com/prsgo/Fulltext/2015/04000/Article.4.aspx; https://doaj.org/toc/2169-7574 |
| DOI: | 10.1097/GOX.0000000000000339 |
| URL الوصول: | https://doaj.org/article/084f9576101a43cb8adf879ab7cef3a3 |
| رقم الأكسشن: | edsdoj.084f9576101a43cb8adf879ab7cef3a3 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 21697574 00000000 |
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| DOI: | 10.1097/GOX.0000000000000339 |