Abstract
During the last 10 years, there has been a revival of interest in cerebral revascularization procedures. Not only have significant progressions in surgical techniques been published, the use of more advanced diagnostic methods has led to a widening of the indications for cerebral bypass surgery. The purpose of this review is to outline the current techniques for extracranial-to-intracranial (EC/IC) and intracranial-to-intracranial (IC/ IC) bypass surgery, as well as to identify the current indications for revascularization procedures based on the available literature. The excimer laser-assisted non-occlusive anastomosis (ELANA) technique is described in more detail because we think that this technique almost completely eliminates the risk of cerebral ischemia due to the temporary vessel occlusion which is currently used in conventional anastomosis techniques.
Keywords
- Single Photon Emission Compute Tomography
- Posterior Inferior Cerebellar Artery
- Recipient Vessel
- Internal Carotid Artery Aneurysm
- Intracranial Internal Carotid Artery
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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Abbreviations
- ACA:
-
Anterior cerebral artery
- AICA:
-
Anterior inferior cerebellar artery
- BA:
-
Basilar artery
- BTO:
-
Balloon test occlusion
- CBF:
-
Cerebral blood flow
- CCA:
-
Communid carotid artery
- CT:
-
Computed tomography
- CTA:
-
Computed tomographic angiography
- EC/IC:
-
Extracranial-to-intracranial
- ECA:
-
External carotid artery
- ELANA:
-
Excimer laser-assisted non-occlusive anastomosis
- IC/IC:
-
Intracranial-to-intracranial
- te]ICA:
-
Internal carotid artery
- IOA:
-
Intra-operative angiography
- MCA:
-
Middle cerebral artery
- MRA:
-
Magnetic resonance angiography
- MRF:
-
Magnetic resonance flowmetry
- MRI:
-
Magnetic resonance imaging
- MRPCA:
-
Magnetic resonance phase contrast angiography
- OA:
-
Occipital artery
- OEF:
-
Oxygen extraction fraction
- OphthA:
-
Ophthalmic artery
- PCA:
-
Posterior cerebral artery
- PComA:
-
Posterior communicating artery
- PET:
-
Positron emission tomography
- PICA:
-
Posterior inferior cerebellar artery
- PTA:
-
Posterior temporal artery
- RA:
-
Radial artery
- rCBF:
-
Regional cerebral blood flow
- SCA:
-
Superior cerebellar artery
- SEP:
-
Somatosensory evoked potential recording
- SPECT:
-
Single proton emission computed tomography
- STA:
-
Superficial temporal artery
- SubclA:
-
Subclavian artery
- SVG:
-
Saphenous vein graft
- TCD:
-
Transcranial Doppler velocity flowmetry
- TIA:
-
Transient ischemic attack
- USF:
-
Ultrasound flowmetry
- VA:
-
Vertebral artery
- Xe CBF:
-
Xenon inhalation cerebral blood flowmetry
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Streefkerk, H.J.N., Van der Zwan, A., Verdaasdonk, R.M., Mansvelt Beck, H.J., Tulleken, C.A.F. (2003). Cerebral Revascularization. In: Pickard, J.D., et al. Advances and Technical Standards in Neurosurgery. Advances and Technical Standards in Neurosurgery, vol 28. Springer, Vienna. https://doi.org/10.1007/978-3-7091-0641-9_3
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