Extracranial-Intracranial Arterial Bypass for Cerebral Ischemia1,2

Author(s):  
O. Gratzl ◽  
P. Schmiedek ◽  
R. Spetzler
Keyword(s):  
2006 ◽  
Vol 175 (4S) ◽  
pp. 420-421
Author(s):  
Gemma Viola Fantini ◽  
Andrew Nisbet ◽  
Pejman Mortarjem ◽  
Claudia Panzer ◽  
Ricardo Munarriz

VASA ◽  
2001 ◽  
Vol 30 (Supplement 58) ◽  
pp. 6-14 ◽  
Author(s):  
Edmonds ◽  
Foster

The diabetic ischaemic foot has become an increasingly frequent problem over the last decade. However, we report a new approach consisting of a basic classification, a simple staging system of the natural history and a treatment plan for each stage, within a multi-disciplinary framework. This approach of "taking control" consists of two parts: 1. long-term conservative care including debridement of ulcers (to obtain wound control), eradication of sepsis (micribiological control), and provision of therapeutic footwear (mechanical control), and 2. revascularisation by angioplasty and arterial bypass (vascular control). This approach has led to a 50% reduction in the rate of major amputations in patients attending with ischaemic ulceration and absent foot pulses from 1989 to 1999 (from 4.6% to 2.3% per year). Patients who underwent angioplasty increased from 6% to 13%. Arterial bypass similarly increased from 3% to 7% of cases. However, even with an increased rate of revascularisation, 80% of patients responded to conservative care alone. This,we conclude, is an essential part of the management of all patients with ischaemic feet.


2008 ◽  
Vol 56 (S 1) ◽  
Author(s):  
LK von Segesser ◽  
W Dembitsky ◽  
E Ferrari ◽  
D Delay ◽  
J Horisberger ◽  
...  

2015 ◽  
Vol 100 (4) ◽  
pp. 1476-1478 ◽  
Author(s):  
Tomohiro Mizuno ◽  
Tsuyoshi Hachimaru ◽  
Keiji Oi ◽  
Taiju Watanabe ◽  
Hidehito Kuroki ◽  
...  
Keyword(s):  

2005 ◽  
Vol 127 (4) ◽  
pp. 611-618 ◽  
Author(s):  
C. M. Su ◽  
D. Lee ◽  
R. Tran-Son-Tay ◽  
W. Shyy

The fluid flow through a stenosed artery and its bypass graft in an anastomosis can substantially influence the outcome of bypass surgery. To help improve our understanding of this and related issues, the steady Navier-Stokes flows are computed in an idealized arterial bypass system with partially occluded host artery. Both the residual flow issued from the stenosis—which is potentially important at an earlier stage after grafting—and the complex flow structure induced by the bypass graft are investigated. Seven geometric models, including symmetric and asymmetric stenoses in the host artery, and two major aspects of the bypass system, namely, the effects of area reduction and stenosis asymmetry, are considered. By analyzing the flow characteristics in these configurations, it is found that (1) substantial area reduction leads to flow recirculation in both upstream and downstream of the stenosis and in the host artery near the toe, while diminishes the recirculation zone in the bypass graft near the bifurcation junction, (2) the asymmetry and position of the stenosis can affect the location and size of these recirculation zones, and (3) the curvature of the bypass graft can modify the fluid flow structure in the entire bypass system.


1979 ◽  
Vol 50 (6) ◽  
pp. 802-804 ◽  
Author(s):  
Clinton F. Miller ◽  
Robert F. Spetzler ◽  
Dennis J. Kopaniky

✓ A case is reported of successful anastomosis of the middle meningeal artery to a cortical branch of the middle cerebral artery. Based on the analyses of 50 random angiograms, the authors discuss the circumstances in which such an anastomosis might be practical and indicated.


1980 ◽  
Vol 20 (3) ◽  
pp. 111-122 ◽  
Author(s):  
G. B. Bradac ◽  
J. Schramm ◽  
A. Kaernbach ◽  
F. Oppel

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