Different methods of intracranial-extracranial bypass surgery for the treatment of intracranial aneurysms.
- Author:
Meng LI
1
;
Hong-qi ZHANG
;
Feng-zeng JIAN
;
Peng ZHANG
;
Xing-long ZHI
;
Feng LING
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Cerebral Revascularization; methods; Female; Follow-Up Studies; Humans; Intracranial Aneurysm; surgery; Male; Middle Aged; Retrospective Studies
- From: Chinese Journal of Surgery 2006;44(2):129-132
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the effects and methods of intracranial-extracranial (IC-EC) bypass surgery in the treatment of intracranial aneurysms.
METHODSThe clinical material of 9 cases, who performed IC-EC bypass surgery before occlusion of the parental arteries of intracranial aneurysms, was studied retrospectively, especially how to evaluate the co-lateral circulation of the parental arteries and how to select the different methods of IC-EC bypass surgery.
RESULTSThe co-lateral circulation in 9 cases was not enough to meet the need of the cerebral blood flow after occlusion of the parental arteries of the aneurysms. Revascularization by different methods of IC-EC bypass surgery and then occlusion of the parental arteries, ischemia in the brain area feeding by occluded parental arteries of the aneurysms did not occurred.
CONCLUSIONWhen the co-lateral circulation of the parental arteries of intracranial aneurysm is not enough, the revascularization by different methods of IC-EC bypass surgery is needed before occlusion of these arteries.