2019
DOI: 10.3171/2018.11.focus18527
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Extracranial-intracranial bypass approach to cerebral revascularization: a historical perspective

Abstract: While the majority of cerebral revascularization advancements were made in the last century, it is worth noting the humble beginnings of vascular surgery throughout history to appreciate its progression and application to neurovascular pathology in the modern era. Nearly 5000 years of basic human inquiry into the vasculature and its role in neurological disease has resulted in the complex neurosurgical procedures used today to save and improve lives. This paper explores the story of the extracranial-in… Show more

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Cited by 14 publications
(15 citation statements)
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“…The posterior branch of the STA has been described in the literature as being usually the bigger and longer branch of the two terminal branches of STA, as it goes to anastomose its branches with the contralateral one. [20,21] It, therefore, provided enough length to reach the A3 segment of the ACA without requiring an interposition graft. The blood flow will continue into the territory of the obliterated vessel through the preserved anterior communication artery and the revascularization [Figure 2f].…”
Section: Discussionmentioning
confidence: 99%
“…The posterior branch of the STA has been described in the literature as being usually the bigger and longer branch of the two terminal branches of STA, as it goes to anastomose its branches with the contralateral one. [20,21] It, therefore, provided enough length to reach the A3 segment of the ACA without requiring an interposition graft. The blood flow will continue into the territory of the obliterated vessel through the preserved anterior communication artery and the revascularization [Figure 2f].…”
Section: Discussionmentioning
confidence: 99%
“…8 The mainstay treatment for MMD is extracranial-intracranial bypass surgery, with superficial temporal artery-middle cerebral artery (STA-MCA) bypass shown to improve patient outcomes and prevent hemodynamic stress and rebleeding. 36 For this reason, the ability to hemodynamically evaluate patients before and after surgical intervention is imperative, a perfect niche for ASL.…”
Section: Moyamoya Diseasementioning
confidence: 99%
“…STA-MCA bypass is most suitable for complex MCA and ICA aneurysms when the recipient is the M3/M4 segment [61,72]. To induce intra-aneurysmal thrombus and avoid distal ischemia, STA-MCA can be performed during proximal/distal clipping of the parent artery [61,73]. Insurance STA-MCA bypass has been performed to support the MCA territory during its prolonged temporary occlusion or during installation of high-flow bypass [61].…”
Section: ) Bypass For Intracranial Complex Aneurysmsmentioning
confidence: 99%