Skip to main content
SpringerLink
Log in

Extra-intracranial Anastomoses

  • Chapter
Vascular Surgery

  • 533 Accesses

Abstract

Thanks to the development of microsurgical techniques and their use in neurosurgery [30], CM. Fischer’s idea (1951) of successfully bypassing an occluded cervical artery has become a reality. This operation, the extra-intracranial arterial bypass operation (also called extra-intracranial anastomosis, abbreviated here as EIAB) has gained increasing popularity in the last few years, following the first operation by Yasargil in 1967. The patency rates of extra-intracranial anastomosis are approximately 95%. The extracranial donor artery, initially having a flow of only about 20 ml/min may be significantly dilated postoperatively and provide a flow of more than 150 ml/min into the intracranial vascular system.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Ausman JI, Nicoloff DM, Chou SN (1978) Posterior fossa revascularization: Anastomosis of vertebral artery to PICA with interposed radial artery graft. Surg Neurol 9:281–286

    PubMed  CAS  Google Scholar 

  2. Ausman JI, Lee MC, Chater NL, Latchaw RE (1979) Superficial temporal artery to superior cere bellar artery anastomosis for distal basilar artery stenosis. Surg Neurol 12:277–282

    PubMed  CAS  Google Scholar 

  3. Ausman JI, Diaz FG, de los Reyes RA, Pak H, Patel S, Boulos R (1981) Anastomosis of occipital artery to anterior inferior cerebellar artery for vertebrobasilar junction stenosis. Surg Neurol 16:99–102

    Article  PubMed  CAS  Google Scholar 

  4. Ausman JI, Diaz FG, de los Reyes RA, Pak H, Patel S, Boulos R (1981) Superficial temporal to proximal superior cerebellar artery anastomosis for basilar artery stenosis. Neurosurgery 9:56–66

    Article  PubMed  CAS  Google Scholar 

  5. Chater NL, Spetzler RF, Tonnemacher K, Wilson CB (1976) Microvascular bypass surgery. Part 1: Anatomical studies. J Neurosurg 44:712–714

    Article  PubMed  CAS  Google Scholar 

  6. EC/IC Bypass Study Group (1985) Failure of extracranial-intracranial arterial bypass to reduce the risk of ischemic stroke. N Engl J Med 313:1191–1200

    Google Scholar 

  7. Fisher CM (1951) Occlusion of the internal carotid artery. Arch Neurol Psych 65:346–377

    CAS  Google Scholar 

  8. Gilsbach JM (1983) Intraoperative Doppler sonography in neurosurgery. Springer, Wien New York

    Google Scholar 

  9. Goldsmith HS, Chen WF, Duckett SW (1973) Brain vascularization by intact omentum. Arch Surg 106:695–698

    Article  PubMed  CAS  Google Scholar 

  10. Jamjoom ZA, Mehdorn HM, Nahser HC (1983) Comparative study of Doppler sonography and angiography in extracranial-intracranial anastomosis. Adv Neurosurg 11:375–383

    Google Scholar 

  11. Karasawa J, Kikuchi H, Furuse S, Kawamura J, Sakaki T (1978) Treatment of moyamoya disease with STA-MCA anastomosis. J Neurosurg 49:679–688

    Article  PubMed  CAS  Google Scholar 

  12. Karasawa J, Kikuchi H, Kawamura J, Sakaki T (1980) Intracranial transplantation of the omentum for cerebrovascular moyamoya disease: A two-year follow-up study. Surg Neurol 14:444–449

    PubMed  CAS  Google Scholar 

  13. Kearns TP, Siekert RG, Sundt TM Jr (1978) The ocular aspects of carotid artery bypass surgery. Trans Am Ophthalmol Soc 76:247–265

    PubMed  CAS  Google Scholar 

  14. Khodadad G, Singh RS, Olinger CP (1977) Possible prevention of stroke by microvascular anastomosis in the vertebral basilar system. Stroke 8:316–321

    Article  PubMed  CAS  Google Scholar 

  15. Kletter G (1979) The extra-intracranial bypass operation for prevention and treatment of stroke. Springer, Wien New York

    Google Scholar 

  16. Kletter G, Matras H, Dinges HP (1978) Zur partiel-len Klebung von Mikrogefäßanastomosen im in-trakraniellen Bereich. Wien Klin Wochenschr 90:415–419

    PubMed  CAS  Google Scholar 

  17. Laurent JP, Lawner PM, O’Connor M (1982) Reversal of intracerebral steal by STA-MCA anastomosis. J Neurosurg 57:629–632

    Article  PubMed  CAS  Google Scholar 

  18. Little JR, Salerno TA (1978) Continuous suturing for microvascular anastomosis. Technical note. J Neurosurg 48:1042–1045

    Article  PubMed  CAS  Google Scholar 

  19. Mehdorn HM, Hoffman WF, Chater NL (1979) Microvascular neurosurgical arterial bypass for cerebral ischämia. A decade of development. World J Surg 3:197–206

    Article  PubMed  CAS  Google Scholar 

  20. Mehdorn HM (1980) Mikroneurochirurgische The-rapie der zerebralen Ischamie. Z Allg Med 56:1731–1737

    CAS  Google Scholar 

  21. Peerless SJ (1975) Techniques of cerebral revascularization. Clin Neurosurg 23:258–269

    Google Scholar 

  22. Peerless SJ, Gamache FW Jr, Hunter IG (1981) Continuous suture method for microvascular anastomosis. Technical note. Neurosurgery 8:695–698

    Article  PubMed  CAS  Google Scholar 

  23. Piepgras DG, Sundt TM Jr (1982) Operative management of intracranial arterial occlusions and acute ischemic stroke. In: Youmans JR (ed) Neurological surgery, vol 3. Saunders, Philadelphia London Toronto Mexico City Tokyo, pp 1619–1626

    Google Scholar 

  24. Spetzler R, Chater N (1974) Occipital artery-middle cerebral artery anastomosis for cerebral artery occlusive disease. Surg Neurol 2:235–238

    PubMed  CAS  Google Scholar 

  25. Spetzler RF, Rhodes RS, Roski RA, Likavec MJ (1980) Subclavian to middle cerebral artery saphenous vein bypass graft. J Neurosurg 53:465–469

    Article  PubMed  CAS  Google Scholar 

  26. Spetzler RF, Schuster H, Roski RA (1980) Elective extracranial-intracranial artery bypass in the treatment of inoperable giant aneurysms of the internal carotid artery. J Neurosurg 53:22–27

    Article  PubMed  CAS  Google Scholar 

  27. Sundt TM Jr, Piepgras DG (1978) Occipital artery to posterior inferior cerebellar artery bypass surgery. J Neurosurg 48:916–928

    Article  PubMed  Google Scholar 

  28. Sundt TM Jr, Piepgras DG, Houser OW, Campbell JK (1982) Interposition saphenous vein grafts for advanced occlusive disease and large aneurysm in the posterior circulation. J Neurosurg 56:205–215

    Article  PubMed  Google Scholar 

  29. Woringer E, Kunlin J (1963) Anastomose entre la carotide primitive et la carotide intracranienne ou la sylvienne par greffon selon la technique de la suture suspendue. Neurochirurgie 9:181–188

    PubMed  CAS  Google Scholar 

  30. Yasargil MG (1969) Microsurgery applied to neurosurgery. Thieme, Stuttgart. Academic, New York

    Google Scholar 

  31. Yasargil MG, Yonekawa Y (1977) Results of microsurgical extra-intracranial arterial bypass in the treatment of cerebral ischemia. Neurosurgery 1:22–24

    Article  PubMed  CAS  Google Scholar 

Download references

Authors
  1. H. M. Mehdorn
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Klinikum Grosshadern, Chirurgische Klinik und Poliklinik, der Universität München, Marchioninistr. 15, D-8000, München 70, Deutschland

    G. Heberer

  2. Academisch Medisch Centrum, Vaatchirurgie, Academisch Ziekenhuis bij de Universiteit van Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam Zuidoost, The Netherlands

    R. J. A. M. van Dongen

Rights and permissions

Reprints and permissions

Copyright information

© 1989 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Mehdorn, H.M. (1989). Extra-intracranial Anastomoses. In: Heberer, G., van Dongen, R.J.A.M. (eds) Vascular Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-72942-3_41

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-72942-3_41

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-72944-7

  • Online ISBN: 978-3-642-72942-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation