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Determining the Optimal Age for Extracranial-Intracranial Bypass Surgery: A Post Hoc Analysis of the CMOSS Randomized Trial.
Stroke
December 2024
Department of Neurosurgery and Interventional Neuroradiology, Xuanwu Hospital, China International Neuroscience Institute, Capital Medical University, National Center for Neurological Disorders, Beijing, China. (L.J.).
Background: Previous trials have failed to demonstrate the benefits of extracranial-intracranial (EC-IC) bypass surgery for patients with carotid or middle cerebral artery occlusion. However, little evidence has focused on the effect of age on prognosis. This study aimed to explore whether EC-IC bypass surgery can provide greater benefits than medical therapy alone in specific age groups.
View Article and Find Full Text PDFExtracranial-Intracranial Microsurgical Bypass Using a Y-Shaped Vein Graft From the Hand.
Plast Surg (Oakv)
May 2024
Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Manitoba, Winnipeg, Canada.
While extracranial-intracranial (EC-IC) bypass is commonly performed by neurosurgeons with specific expertise in cerebrovascular surgery, they can also be performed together with microvascular plastic surgeons. At our institution, some EC-IC bypass cases have evolved to be performed by neurosurgeons and plastic surgeons in a combined approach. Given the plastic surgeons' expertise and volume of experience in performing microvascular surgery, their skills are utilized in performing the donor vessel dissection as well as the bypass itself.
View Article and Find Full Text PDFHow I do It: High flow EC-IC bypass for complex middle cerebral artery aneurysms using the lateral circumflex femoral artery as interposition graft.
Acta Neurochir (Wien)
November 2024
Division of Neurosurgery, Department of Surgery, University Health Network (UHN), Toronto, ON M5T 2S8, Canada.
Article Synopsis
- - The text discusses the need for high-flow bypasses in treating complex aneurysms from the ICA or MCA, highlighting the limitations of traditional graft options like the saphenous vein and radial artery.
- - It introduces the lateral circumflex femoral artery as a viable and easily harvested alternative graft vessel for these bypass procedures.
- - The conclusion emphasizes that the lateral circumflex femoral artery is not only easy to obtain but also a reliable choice for high-flow bypasses in complex aneurysm cases.
Non-aneurysmal Subarachnoid Hemorrhage Due to an Aplastic or Twig-Like Middle Cerebral Artery Diagnosed by Cone Beam CT and M1 Selective Angiography: A Case Report.
Cureus
September 2024
Department of Neurosurgery, Osaka Medical and Pharmaceutical University, Takatsuki, JPN.
A non-aneurysmal subarachnoid hemorrhage (SAH) due to an aplastic or twig-like middle cerebral artery (Ap/T-MCA) is extremely rare. We describe a case of a non-aneurysmal SAH due to an Ap/T-MCA. A 38-year-old female patient experienced a sudden severe headache and was admitted to our hospital.
View Article and Find Full Text PDFElevated triglyceride-glucose index predicts poor outcome in patients with intracranial atherosclerotic stenosis after extracranial and intracranial bypass.
Ann Med
December 2024
Department of Neurosurgery, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Background And Purpose: The triglyceride-glucose (TyG) index, a novel reliable biomarker for IR that incorporates blood glucose and triglyceride, is linked to intracranial atherosclerotic stenosis (ICAS). In this study, we aimed to further investigate the association between the TyG index and the outcomes of ICAS patients following extracranial-to-intracranial (EC-IC) bypass grafting.
Methods: 489 ICAS patients who underwent EC-IC bypass between Jan 2009 and Jan 2022 at our hospital were retrospectively collected.
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