Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
6045169 | World Neurosurgery | 2015 | 36 Pages |
Abstract
Ischemic complications must always be anticipated in the treatment of giant or complex intracranial aneurysms, even if pre- and intraoperative blood flow studies indicate sufficient collateralization. Here we show that extracranial-to-intracranial bypass is an effective option to rescue unanticipated hemodynamic insufficiency after parent vessel occlusion. This study emphasizes the need for cerebrovascular surgeons to maintain proficiency in complex bypass techniques.
Keywords
SSEPsICGSAHDSABTOEC-ICExtracranial-to-intracranialCBFMRSACASTAICAMCAGiant aneurysmDigital subtraction angiographyElectroencephalographyMRIBalloon test occlusionIndocyanine greenBypass surgeryMagnetic resonance imagingcomputed tomographycerebral blood flowSubarachnoid hemorrhageCerebral revascularizationsuperficial temporal arteryanterior cerebral arterymiddle cerebral arteryinternal carotid arteryModified Rankin scaleIntraoperative monitoringMEPsEEGmotor-evoked potentialsSomatosensory-evoked potentials
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Authors
Giovanni Pancucci, Matthew B. Potts, Ana RodrÃguez-Hernández, Hugo Andrade, LanJun Guo, Michael T. Lawton,