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Brain Revascularization by Extracranial-Intracranial Arterial Bypasses

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Practical Handbook of Neurosurgery

Abstract

The therapeutic idea of anastomosis of the external carotid artery, or one of its branches, with the internal carotid artery above the area of narrowing was advocated by C. Miller Fisher in 1951. This was actually realized in another way than originally suggested at the cervical region, but in the form of superficial temporal artery-middle cerebral artery (STA-MCA) bypass using microsurgical technique by Donaghy and Yaşargil in 1967 [22]. Thereafter, applications of the revascularization technique have been reported for one cerebral vascular territory after the other. It was the international cooperative study of extracranial-intracranial (EC-IC) bypass, whose final results in 1985 called the role of the procedure in prevention of further recurrent stroke into question [5]. Most neurosurgeons were disappointed at the results then and apparently have lost interest in performing microvascular anastomosis. This tendency has been enhanced by the development of interventional neuroradiology represented by percutaneous an transluminal dilatation (PTA) pioneered by A. Grüntzig in 1979 and later with additional stenting procedure.

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Authors and Affiliations

  1. University of Zurich, Haldenbachstrasse 18, 8091, Zurich, Switzerland

    Y. Yonekawa

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  1. Y. Yonekawa
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Editors and Affiliations

  1. Department of Neurosurgery, Hôpital Neurologique P. Wertheimer, University of Lyon, Lyon, France

    Marc Sindou

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Yonekawa, Y. (2009). Brain Revascularization by Extracranial-Intracranial Arterial Bypasses. In: Sindou, M. (eds) Practical Handbook of Neurosurgery. Springer, Vienna. https://doi.org/10.1007/978-3-211-84820-3_23

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  • DOI: https://doi.org/10.1007/978-3-211-84820-3_23

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-84819-7

  • Online ISBN: 978-3-211-84820-3

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