Abstract
Although the benefit of extracranial–intracranial arterial bypass (EC–IC bypass) surgery compared to medical treatment in preventing recurrent stroke in patients with symptomatic carotid occlusion or high stenosis of internal carotid artery or middle cerebral artery was failed, many studies have been performed to find appropriate candidates for EC–IC bypass surgery. Nevertheless, surgical efficacy has not been well demonstrated, although enrolled patients were at high risk of stroke due to the profound hemodynamic compromise. On the contrary, EC–IC bypass surgery has shown protective effect on preventing future stroke in patients with moyamoya disease (MMD), in particular adult MMD patients with cerebral ischemic symptoms. For MMD patients with hemorrhagic presentation, surgical benefit of bypass surgery is still controversial. In this chapter, we have reviewed the role of EC–IC bypass surgery in patients with atherosclerotic carotid stenosis or MMD. In addition, we have included detailed information about surgical techniques of EC–IC bypass surgery.
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Kim, J.E., Jeon, J.P., Cho, WS. (2017). Bypass Surgery. In: Park, J. (eds) Acute Ischemic Stroke. Springer, Singapore. https://doi.org/10.1007/978-981-10-0965-5_14
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DOI: https://doi.org/10.1007/978-981-10-0965-5_14
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