Bypass for Giant Aneurysms

  • Joachim Michael Gilsbach


In the treatment of giant aneurysms by carotid ligation and simultaneous extracranial-intracranial bypass, there are various opinions as to when the cervical internal carotid artery should be occluded: immediately after the bypass has been completed82, one day later143, within 1–2 days69, within 2–3 days23, 174, or within 7–10 days48. What is agreed, however, is that a high pressure gradient in the area of the anastomosis is desirable, i. e., a reduction of the carotid flow is aimed for from the start.


Carotid Artery Retrograde Flow Giant Aneurysm High Grade Stenosis High Pressure Gradient 
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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Copyright information

© Springer-Verlag Wien 1983

Authors and Affiliations

  • Joachim Michael Gilsbach
    • 1
  1. 1.Department of NeurosurgeryUniversity of Freiburg Medical SchoolFreiburg i. Br.Federal Republic of Germany

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