Direct Endarterectomy of the Middle Cerebral Artery for Treatment of Symptomatic Stenosis

Autor:	R. A. de los Reyes, Joshua B. Bederson, I. M. Germano
Rok vydání:	1993
Předmět:	medicine.medical_specialty business.industry medicine.medical_treatment Infarction Arteriotomy medicine.disease Surgery Stenosis Atheroma medicine.artery Middle cerebral artery Occlusion medicine Neurology (clinical) Radiology business Stroke Endarterectomy
Zdroj:	Neurosurgery. 32:464-468
ISSN:	1524-4040 0148-396X
DOI:	10.1227/00006123-199303000-00022
Popis:	The authors report the clinical course and surgical technique used to treat a patient with a high-grade stenosis of the proximal middle cerebral artery that had caused a previous infarction and threatened the remaining dominant hemisphere. Trapping of the involved middle cerebral artery segment allowed direct exposure for excision of the atheromatous plaque and subsequent closure of the arteriotomy. Intraoperative angiography confirmed the reestablishment of flow. The patient made an uneventful postoperative recovery. Direct middle cerebral artery endarterectomy has the advantage of potentially reestablishing flow to lenticulostriate branches. The technique may also avoid the problem of occlusion at the site of maximum stenosis that can be caused by the use of an extra/intracranial bypass graft. Middle cerebral artery endarterectomy is a potentially valuable technique that deserves further investigation.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::eac7317fa63262fe307af029c2bd5822 https://doi.org/10.1227/00006123-199303000-00022 Zobrazit plný text záznamu