Indications for Surgery in Patients with Several Cerebrovascular Lesions

  • L. M. Auer
  • F. Heppner


This study covers patients with TIA (transient ischemic attacks), PRIND (persistent reversible ischemic neurologic deficit), or minor CS (completed stroke) who were considered for EC-IC bypass surgery (extracranial-intracranial arterial bypass) and/or TEA (thrombendarterectomy). In a series of 53 patients with cerebrovascular insufficiency we found 14 suffering from more than one cerebrovascular lesion. The main point of interest was to learn more about priorities when two or more operative procedures become disputable in one patient. Another question of equal interest was the limits regarding age of patient and number of operable lesions. A problem much discussed in recent years is the value of EC-IC bypass in patients with carotid stenosis at one bifurcation and internal carotid artery (ICA) occlusion on the contralateral side (SO patients).2,3,6,7,14,15,18,20,23,26,28 ICA stenosis and aneurysm in the same patient have been treated following differing priorities with varying success.1,16,17,24,25,27


Carotid Stenosis Internal Carotid Artery Stenosis Carotid Artery Occlusion Control Angiography Cerebrovascular Lesion 
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© Springer-Verlag New York Inc. 1980

Authors and Affiliations

  • L. M. Auer
  • F. Heppner

There are no affiliations available

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