Extracranial-intracranial bypass for ischemic cerebrovascular disease refractory to maximal medical therapy.

摘要: OBJECTIVE: To examine the potential role of cerebral revascularization in treatment patients with symptomatic occlusive cerebrovascular disease refractory to medical therapy. METHODS: Twenty underwent 22 extracranial-intracranial bypass procedures after failing maximal The average follow-up time was 3.5 years, and no patient lost follow-up. RESULTS: All presented repeated transient ischemic attacks Angiographic findings included internal carotid artery occlusion 8 patients, middle stenosis or 4, moyamoya dissection 2, supraclinoid 2. Outcome excellent 17 good 3. only surgical complication occurred one patient, who experienced postoperative seizures required anticonvulsant There were deaths this series. CONCLUSION: Although Cooperative Study on Extracranial-lntracranial Bypass failed show a benefit from procedure, we have continued perform operation selected cases. Carefully individuals persistent symptoms, despite therapy, seem obtain demonstrable durable revascularization.