Skip to main content

Revascularization in Acute Stage

  • Chapter
Treatment of Cerebral Infarction

Abstract

In cases of cerebral infarction, it was once thought reasonable to remove the stenotic or occluded vessel in the acute stage following onset and to artificially construct collateral vessels—thereby allowing the recirculation of blocked blood flow. It was subsequently found, however, that, the surgical results of those cases undergoing vascular reconstruction in the acute period were in fact poor. Unfavorable results were due to the fact that, in the acute stage of cerebral infarction when vascular reconstruction permitted the flow of blood to a focus where already irreversible changes had occurred, a worsening of the cerebral edema, the occurrence of hemorrhagic infarction and further deterioration of histological damage were brought about.

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

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
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. Andrews BT, Weinstein PR, Chater NL (1985) Emergency extrcranial-intracranial arterial bypass for stroke in evolution. In: Spetzler RF, Carter LP, Selman WR, Martin NA (eds) Cerebral revascularization for stroke. Thieme-Stratton, New York, pp 542–547

    Google Scholar 

  2. Baker RN, Broward JA, Fang HC et al (1962) Anticoagulant therapy in cerebral infarction. Report on cooperative study. Neurology 12: 828–835

    Google Scholar 

  3. Chater IL, Popp J (1976) Microsurgical vascular bypass for occlusive cerebrovascular disease; review of 100 cases. Surg Neurol 6: 115–118

    PubMed  CAS  Google Scholar 

  4. Crowell RM (1977) STA-MCA bypass for acute focal cerebral ischemia. In: Schmiedek P (ed) Microsurgery for stroke. Springer, Berlin Heidelberg New York, pp 244–250

    Chapter  Google Scholar 

  5. Diaz FG, Ausman JI, Metha B et al (1985) Acute cerebral revascularization. J Neurosurg 63: 200–209

    Article  PubMed  CAS  Google Scholar 

  6. Engel LS, Ferraz H (1983) Indication and results of extra-intracranial arterial bypasses. Int Surg 68: 197–200

    PubMed  CAS  Google Scholar 

  7. Fisher CM (1961) Anticoagulant therapy in cerebral thrombosis and cerebral embolism. A national cooperative study. Interim report. Neurology 11: 119–131

    Article  PubMed  Google Scholar 

  8. Gentou E, Barnett HJM, Fields WS et al (1977) XIV. Cerebral ischemia; the role of thrombosis and antithrombotic therapy. Study group on antithrombotic therapy. Stroke 8: 150–175

    Article  Google Scholar 

  9. Goldstone J, Effeney D (1980) The role of carotid endarterectomy in the treatment of acute neurologic deficit. Prog Cardiovasc Dis 22: 6

    Article  Google Scholar 

  10. Goldstone J, Moore WS (1978) A look at emergency carotid artery operations for the treatment of cerebrovascular insufficiency. Stroke 9: 599–602

    Article  Google Scholar 

  11. Gratzl O, Schmidek P, Spetzler R et al (1976) Clinical experience with extra-intracranial anastomosis in 65 cases. J Neurosurg 44: 313–324

    Article  PubMed  CAS  Google Scholar 

  12. Irino T, Watanabe M, Nishide M et al (1983) Angiographical analysis of acute cerebral infarction followed by “cascade”- like deterioration of minor neurological deficits. What is progressing stroke? Stroke 14: 363–368

    Article  PubMed  CAS  Google Scholar 

  13. Kagawa S, Koshu K, Yoshimoto T et al (1982) The protective effect of mannitol and perfluorochemicals on hemorrhage infarction: an experimental study. Surg Neurol 17: 66–70

    Article  PubMed  CAS  Google Scholar 

  14. Kayama T, Kaneko M, Muraki M et al (1985) Surgical results of emergent re-vasuclarization for the acute major stroke. Hemodynamic observation and clinical course. Cerebral revascularization for stroke. Thieme-Stratton, New York, pp 555–563

    Google Scholar 

  15. Kayama T, Mizoi K, Suzuki J (1981) A canine model of a completely ischemic brain regulated with the perfusion model. Surg Neurol 16: 167–172

    Article  Google Scholar 

  16. Kayama T, Mizoi K, Yoshimoto T et al (1980) Metabolic changes in complete ischemia using a canine model of complete ischemic brain regulated with a perfusion method. Analysis of the lipid peroxidate metabolites, energy metabolites and cortical electrical activity. In: Sano K, Handa H (eds) Cerebral ischemia and cell damage. Neuron Pub, Tokyo, pp 33–38

    Google Scholar 

  17. Kayama T, Mizoi K, Yoshimoto T et al (1980) Protective effect of mannitol and fluorocarbon in cerebral ischemia using a dog model of complete ischemia brain with perfusion model. Surg Ther (Osaka) 43:700

    Google Scholar 

  18. Koshu K, Seki H, Yoshimoto T et al (1980) A canine model of a completely ischemic brain regulated with the perfusion method. Surg Neurol 16: 274–279

    Article  Google Scholar 

  19. Millikan CH, Siekart RG (1955) Studies in cerebral vascular disease. 1. The syndrome of intermittent insufficiency of the basilar arterial system. Proc Staff Meet Mayo Clin 30: 61–68

    PubMed  CAS  Google Scholar 

  20. Millikan CH, Siekart RG (1955) Studies in cerebral vascular disease. IV. The syndrome of intermittent insufficiency of the carotid. Proc Staff Meet Mayo Clin 30: 186–191

    PubMed  CAS  Google Scholar 

  21. Millikan CH (1983) Clinical management of cerebral ischemia. In: McDowell FH, Brennan RW (eds) Cerebral vascular diseases, 8th Conference. Grune and Stratton, New York

    Google Scholar 

  22. Mizoi K, Yoshimoto TL, Suzuki J (1981) Experimental study of new cerebral protective substance-functional recovery of severe incomplete ischemic brain lesions, pretreated with mannitol and fluorocarbon emulsion. Acta Neurochir (Wien) 56: 157–166

    Article  CAS  Google Scholar 

  23. Nishijima M, Tanaka S, Watanabe T et al (1981) Sequential changes in nerve cells during complete ischemia and the preventive effects of various drugs on cerebral infarction. No To Shinkei 33: 291–299

    PubMed  CAS  Google Scholar 

  24. Ohta T, Waga S, Handa H et al (1974) New grading of level of disordered consciousness. No Shinkei Geka 2: 623–627 (Eng Abstr)

    PubMed  CAS  Google Scholar 

  25. Royden Jones H, Millikan CH (1976) Temporal profile (clinical course) of acute carotid system cerebral infarction. Stroke 7: 64–71

    Article  Google Scholar 

  26. Samson S, Boone S (1978) Extracranial-intracranial (EC-IC) arterial bypass: past performance and current concepts. Neurosurgery 3: 79–86

    Article  PubMed  CAS  Google Scholar 

  27. Seki H, Ogawa A, Yoshimoto T et al (1981) Effect of mannitol on rCBF in canine thalamus ischemia an experimental study. No To Shinkei 33: 1101–1105

    PubMed  CAS  Google Scholar 

  28. Spetzlar RG, Selman WR, Roski RA et al (1982) Cerebral revascularization during barbiturate coma in primates and humans. Surg Neurol 17: 111–115

    Article  Google Scholar 

  29. Suzuki J (1974) A method of prolongation of temporary stopping of the cerebral blood flow. Presidential Address, 33rd Annual Meeting of the Japan Neurological Society, Sendai, Japan, October

    Google Scholar 

  30. Suzuki J, Fujimoto S, Mizoi K et al (1984) The protective effect of combined administration of anti-oxidants and perfluorochemicals on cerebral ischemia. Stroke (In press)

    Google Scholar 

  31. Suzuki J, Imaizumi S, Kayama T (1984) Chemiluminescence on hypoxic brain. The 2nd report; effect of free radical scavengers. Stroke (In press)

    Google Scholar 

  32. Suzuki J, Ogawa YT et al (1985) Indications for surgery in the acute stage of cerebral infarction. The role of new cerebral protective drugs “Sendai cocktail“ and perfluorochemicals. Cerebral revascularization for Stroke. Thieme-Stratton, New York, pp 392–396

    Google Scholar 

  33. Suzuki J, Onuma T, Yoshimoto T (1979) Results of early operation on cerebral aneurysms. Surg Neurol 11: 407–412

    PubMed  CAS  Google Scholar 

  34. Suzuki J, Tanaka S, Yoshimoto T (1980) Recirculation in the acute period of cerebral infarction; brain swelling and its suppression using mannitol. Surg Neurol 14: 467–472

    PubMed  CAS  Google Scholar 

  35. Suzuki J, Tanaka S, Yoshimoto T (1981) Suppression of brain swelling with mannitol and perfluorochemicals an experimental study. Acta Neurochir (Wien) 58: 149–160

    Article  CAS  Google Scholar 

  36. Suzuki J, Tanaka S, Yoshimoto T (1980) Recirculation in the acute period of cerebral infarction; experimental research on brain swelling and its suppression by using mannitol or glycerol. Acta Neurochir (Wien) 54: 219–231

    Article  CAS  Google Scholar 

  37. Suzuki J, Yoshimoto T (1981) A combined treatment of hypertonic solution and blood substitute for cerebral infarction. Medicine. (Tokyo) 18: 1660–1661

    Google Scholar 

  38. Suzuki J, Yoshimoto T (1978) Indication and timing in the surgery of ruptured cerebral aneurysm. Phronesis 36: 34–48

    Google Scholar 

  39. Suzuki J, Yoshimoto T (1979) The effect of mannitol in prolongation of permissible occlusion time of cerebral arteryclinical data of aneurysm surgery. Neurosurg Rev 1: 13–19

    Article  Google Scholar 

  40. Suzuki J, Yoshimoto T, Kadama N et al (1982) A new therapeutic method for acute brain infarction; revascularization following the administration of mannitol and perfluorochemicals. A preliminary report. Surg Neurol 17: 325–33

    Article  PubMed  CAS  Google Scholar 

  41. Suzuki J, Yoshimoto T, Mozoi K et al (1981) A new therapeutic method for the acute period of brain infarction. Jpn J Stroke 3: 130–131 (Eng Abstr)

    Article  Google Scholar 

  42. Suzuki J, Yoshimoto T, Tanaka S et al (1981) Development of new methods in 49. suppressing brain infarction-combined administration of mannitol and perfluorochemicals. No Shinkei Geka 91: 465–470 (Eng Abstr)

    Google Scholar 

  43. Suzuki J, Yoshimoto T, Tanaka S et al (1980) Production of various models of cerebral infarction in the dog by means of 50. occlusion of intracranial trunk arteries. Stroke 11: 337–341

    Article  PubMed  CAS  Google Scholar 

  44. Tanaka S, Yoshimoto T, Seki H et al (1979) Production of infarction model in dogs by severe brain arteries occlusion. Part 1: Production of hemispheric non-blood supply model. No To Shinkei 31: 665–669

    PubMed  CAS  Google Scholar 

  45. Yoshimoto T, Sakamoto T, Suzuki J (1978) Experimental cerebral infarction. Part 1: Production of thalamus infarction in dogs. Stroke 9: 211–214

    Article  PubMed  CAS  Google Scholar 

  46. Yoshimoto T, Sakamoto T, Watanabe T et al (1978) Experimental cerebral infarction. Part 3: Protective effect of mannitol in thalamic infarction in dogs. Stroke 9: 217–218

    Article  PubMed  CAS  Google Scholar 

  47. Yoshimoto T, Suzuki J (1976) Intracranial definitive aneurysm surgery under normo-thermia and normotension-utilizing temporary occlusion of brain artery and preoperative mannitol administration. No Shinkei Geka 4: 775–783

    PubMed  CAS  Google Scholar 

  48. Yoshimoto T, Suzuki J (1979) Temporary clipping prolongation of the time of occlusion by mannitol. In: Pia HW, Langmaid C, Zierski J (eds) Cerebral aneurysms: advances in diagnosis and therapy. Springer, Berlin Heidelberg New York, pp 388–392

    Google Scholar 

  49. Watanabe T, Yoshimoto T, Suzuki J (1979) The effect of mannitol in preventing the development of cerebral infarction; an electron microscopical investigation. In: Suzuki J (ed) Cerebral aneurysms-experience with 1000 directly operated cases. Neuron Pub, Tokyo, pp 359–365

    Google Scholar 

  50. Wylie EJ, Hein MF, Akams JE (1964) Intracranial hemorrhage following surgical revascularization for treatment of acute stroke. J Neurosurg 21: 212–215

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 1987 Springer-Verlag/Wien

About this chapter

Cite this chapter

Suzuki, J. (1987). Revascularization in Acute Stage. In: Treatment of Cerebral Infarction. Springer, Vienna. https://doi.org/10.1007/978-3-7091-8861-3_12

Download citation

  • DOI: https://doi.org/10.1007/978-3-7091-8861-3_12

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-8863-7

  • Online ISBN: 978-3-7091-8861-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics