Extracranial-intracranial (EC-IC) bypass of symptomatic middle cerebral artery (MCA) total occlusion for haemodynamic impairment patients
| Autor: | Der Yang Cho, Shinn Zong Lin, Ju Hsin Chang, Ya Wen Cheng, Chii Wen Chou, Chun Chung Chen |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male Cerebral arteries Hemodynamics Infarction Anastomosis Severity of Illness Index Young Adult medicine.artery medicine Humans cardiovascular diseases Postoperative Period Cerebral perfusion pressure Stroke Aged Retrospective Studies medicine.diagnostic_test business.industry Infarction Middle Cerebral Artery General Medicine Digital subtraction angiography Middle Aged medicine.disease Intracranial Arteriosclerosis Acetazolamide Treatment Outcome Ischemic Attack Transient Anesthesia Middle cerebral artery Surgery Female Neurology (clinical) business |
| Zdroj: | British journal of neurosurgery. 26(6) |
| ISSN: | 1360-046X |
| Popis: | A retrospective, single-centre, non-randomized study in the management of symptomatic middle cerebral artery (MCA) total occlusion disease to evaluate extracranial-intracranial (EC-IC) bypass as an intervention for patients with atherosclerotic MCA total occlusion, ischemic symptoms (transient ischemic attacks [TIAs]) or poor cerebral haemodynamics who had not responded well to maximal medical treatment was reported. Twenty-three patients were included in the study with the criteria of: having ischemic syndrome, for example, TIA; being associated with atherosclerotic MCA total occlusion disease (compatible with radiological assessment); being failed to respond to optimal medical therapy (e.g. antiplatelet therapy), indicating a repeat TIA or ischemic stroke attack was noted during maximal medical therapy; having poor cerebral perfusion on CT imaging; and having regional cerebrovascular reactivity (rCVR) of |
| Databáze: | OpenAIRE |
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