About: Urgent extracranial-intracranial bypass in the treatment of acute hemodynamic ischemic stroke: case report     Goto   Sponge   NotDistinct   Permalink

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  • Extracranial-intracranial (EC-IC) bypass surgery is performed to allow flow augmentation in selected cases of occlusive cerebrovascular disease. The majority of EC-IC bypasses are described as an elective procedure in the prevention of hemodynamic ischemic stroke. There is only limited and controversial experience of superficial temporal artery to middle cerebral artery (STA-MCA) anastomosis performed under urgent circumstances as a treatment of acute cerebral ischemia. We describe a unique case of a 75-year-old patient presenting with acute progressive hemodynamic ischemia after carotid endarterectomy (CEA), which developed contralaterally to the performed CEA in the region of chronic internal carotid artery (ICA) occlusion. Urgent performance of a standard STA-MCA bypass rapidly improved the cerebral hemodynamic and had an excellent therapeutic effect. The patient had recovered completely within 4 weeks of surgery. The role of urgent EC-IC bypass for stroke treatment is discussed.
  • Extracranial-intracranial (EC-IC) bypass surgery is performed to allow flow augmentation in selected cases of occlusive cerebrovascular disease. The majority of EC-IC bypasses are described as an elective procedure in the prevention of hemodynamic ischemic stroke. There is only limited and controversial experience of superficial temporal artery to middle cerebral artery (STA-MCA) anastomosis performed under urgent circumstances as a treatment of acute cerebral ischemia. We describe a unique case of a 75-year-old patient presenting with acute progressive hemodynamic ischemia after carotid endarterectomy (CEA), which developed contralaterally to the performed CEA in the region of chronic internal carotid artery (ICA) occlusion. Urgent performance of a standard STA-MCA bypass rapidly improved the cerebral hemodynamic and had an excellent therapeutic effect. The patient had recovered completely within 4 weeks of surgery. The role of urgent EC-IC bypass for stroke treatment is discussed. (en)
Title
  • Urgent extracranial-intracranial bypass in the treatment of acute hemodynamic ischemic stroke: case report
  • Urgent extracranial-intracranial bypass in the treatment of acute hemodynamic ischemic stroke: case report (en)
skos:prefLabel
  • Urgent extracranial-intracranial bypass in the treatment of acute hemodynamic ischemic stroke: case report
  • Urgent extracranial-intracranial bypass in the treatment of acute hemodynamic ischemic stroke: case report (en)
skos:notation
  • RIV/00669806:_____/13:10139522!RIV14-MZ0-00669806
http://linked.open...avai/riv/aktivita
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  • I
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  • 5
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  • 112871
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  • RIV/00669806:_____/13:10139522
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  • complication; stroke; superficial temporal artery to middle cerebral artery anastomosis; acute revascularization; extracranial-intracranial bypass (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • DE - Spolková republika Německo
http://linked.open...ontrolniKodProRIV
  • [C3D187A67BA2]
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  • Journal of neurological surgery. Part A, Central European neurosurgery
http://linked.open...in/vavai/riv/obor
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  • 74
http://linked.open...iv/tvurceVysledku
  • Ferda, Jiří
  • Mraček, Jan
  • Mork, Jan
  • Přibáň, Vladimír
  • Holečková, Irena
  • Štěpánek, David
  • Hommerová, Jolana
http://linked.open...ain/vavai/riv/wos
  • 000323111200010
issn
  • 2193-6315
number of pages
http://bibframe.org/vocab/doi
  • 10.1055/s-0032-1331381
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