TY - JOUR
T1 - Bilateral flow changes after extracranial-intracranial bypass surgery in a complex setting of multiple brain-feeding arteries occlusion: The role of perfusion studies
AU - Esposito, Giuseppe
AU - Della Pepa, Giuseppe Maria
AU - Sabatino, Giovanni
AU - Gaudino, Simona
AU - Puca, Alfredo
AU - Maira, Giulio
AU - Marchese, Enrico
AU - Albanese, Alessio
PY - 2015
Y1 - 2015
N2 - We report on a symptomatic case in which the whole intracranial blood supply was provided by a single vertebral artery as both internal carotid arteries were occluded and the contralateral vertebral artery was severely hypoplasic. The patient was treated by a flow-augmentation extracranial-intracranial bypass. Preoperative perfusion studies were essential in tailoring surgical strategy. Keypoints of the paper are contralateral perfusion changes after unilateral bypass surgery. The patient experienced a total recovery from symptoms and a bilateral improvement in brain perfusion, probably as consequence of post-operative hemodynamic rearrangement.
AB - We report on a symptomatic case in which the whole intracranial blood supply was provided by a single vertebral artery as both internal carotid arteries were occluded and the contralateral vertebral artery was severely hypoplasic. The patient was treated by a flow-augmentation extracranial-intracranial bypass. Preoperative perfusion studies were essential in tailoring surgical strategy. Keypoints of the paper are contralateral perfusion changes after unilateral bypass surgery. The patient experienced a total recovery from symptoms and a bilateral improvement in brain perfusion, probably as consequence of post-operative hemodynamic rearrangement.
KW - Cerebral Revascularization
KW - bilateral carotid occlusion
KW - Cerebral Revascularization
KW - bilateral carotid occlusion
UR - http://hdl.handle.net/10807/149157
U2 - 10.3109/02688697.2015.1023779
DO - 10.3109/02688697.2015.1023779
M3 - Article
SN - 0268-8697
VL - 29
SP - 723
EP - 725
JO - British Journal of Neurosurgery
JF - British Journal of Neurosurgery
ER -