Rare Indications for EIAB Procedures

  • H. Friedrich
  • G. Hänsel-Friedrich
  • R. Staffensky
  • H. Vogelsang
Conference paper
Part of the Advances in Neurosurgery book series (NEURO, volume 13)

Abstract

Common indications for EIAB surgery are stenosis or occlusion of one internal carotid artery (ICA) or middle cerebral artery (MCA). Prophylactic anastomoses are also carried out to minimize the risk of ischemic complications in patients in whom internal carotid artery ligation is planned for any of a variety of reasons. Among these elective EIAB indications are tumors of the skull base affecting the internal carotid artery and giant aneurysms of the ICA which cannot be attacked by direct approach (1, 2, 4, 5, 7). In addition, a number of cases are known where EIAB has prevented exacerbation of ischemic deficit in patients with certain lesions that are, as yet, untreatable, e.g., Moya-Moya syndrome (8), fibromuscular dysplasia, and Takayasu’s syndrome.

Keywords

Arthritis Ischemia Dementia Neurol Meningioma 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    BRAMBILLA, G., PAOLETTI, P., RODRIGUEZ Y BAENA, R.: Extracranialintracranial arterial bypass in the treatment of inoperable giant aneurysms of the internal carotid artery. Acta Neurochir. 60, 63–69 (1982)CrossRefGoogle Scholar
  2. 2.
    BUSHE, K.A., BOCKHORN, J.: Extracranial-intracranial arterial bypass for giant aneurysms. Acta Neurochir. 54, 107–115 (1980)CrossRefGoogle Scholar
  3. 3.
    FRAGA, A., et al.: Takayasu’s arteriitis: Frequency of systemic manifestations and favourable response to maintenance steroid therapy with adrenocorticosteroids. Arthritis Rheum. 15, 617 (1972)PubMedCrossRefGoogle Scholar
  4. 4.
    GELBER, B.R., SUNDT, T.M. Jr.: Treatment of intracavernous and giant carotid aneurysms by combined internal carotid ligation and extra-to intracranial bypass. J. Neurosurg. 52, 1–10 (1980)PubMedCrossRefGoogle Scholar
  5. 5.
    GRATZL, O., SCHMIEDEK, P., STEINHOFF, H.,: Extra-intracranial arterial bypass in patients with occlusion of cerebral arteries due to trauma and tumor. In: HANDA, H. (ed.): Microneurosurgery, pp 68–80, Tokyo, Igaku Shoin, Baltimore, University Park Press, 1975Google Scholar
  6. 6.
    HACHIYA, J.: Current concepts of Takayasu’s arteriitis. Seminars Roentgen. 5, 245–259 (1970)CrossRefGoogle Scholar
  7. 7.
    HOPKINS, L.N., GRAND, W.: Extracranial-intracranial arterial bypass in the treatment of aneurysms of the carotid and middle cerebral arteries. Neurosurg. 5, 21–31 (1979)CrossRefGoogle Scholar
  8. 8.
    KARASAWA, J., KIKUCHI, H., FURUSE, S., KAWAMURA, J., SAKAKI, T.: Treatment of moyamoya disease with STA-MCA anastomois. J. Neurosurg. 49, 679–688 (1978)PubMedCrossRefGoogle Scholar
  9. 9.
    PEERLESS, S.J., CHATER, N.L., FERGUSON, G.F.: Multiple vessel occlusion in cerebrovascular disease - a further follow-up of the effects of microvascular bypass on the quality of life and the incidence of stroke. In: SCHMIEDEK, P. (ed.): Microsurgery for stroke, pp 251–259, Springer-Verlag, New York, Heidelberg, Berlin, 1977Google Scholar
  10. 10.
    SPETZLER, R.F., RHODES, R.S., ROSKI, R.A.: High flow extracranial to intracranial bypass. 7th Int. Congr. Neurol. Surg., München, July 12–18, 1981Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1985

Authors and Affiliations

  • H. Friedrich
    • 1
  • G. Hänsel-Friedrich
    • 1
  • R. Staffensky
    • 1
  • H. Vogelsang
    • 2
  1. 1.Neurochirurgische KlinikMedizinische Hochschule HannoverHannover 61Germany
  2. 2.Neuroradiologische AbteilungMedizinische Hochschule HannoverHannover 61Germany

Personalised recommendations