Summary
Angiography is indispensable for the selection of appropriate candidates for extra-intracranial arterial bypass (E.I.A.B.). It allows the visualization of ICA and/or MCA occlusion or inaccessible stenosis which are considered indications for E.I.A.B.
Complete angiographic study also gives information about other vascular lesions and the morphology of ECA and its branches as well as collateral circulation. Moreover angiography evaluates the result of bypass. The methods of the preoperative and postoperative angiography are described.
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Abbreviations
- C.A.:
-
Carotid artery
- C.C.A.:
-
Common carotid artery
- E.C.A.:
-
External carotid artery
- S.T.A.:
-
Superficial temporal artery
- O.A.:
-
Occipital artery
- I.C.A.:
-
Internal carotid artery
- A.C.A.:
-
Anterior cerebral artery
- M.C.A.:
-
Middle cerebral artery
- A.Co.A.:
-
Anterior comunicating artery
- P.Co.A.:
-
Posterior comunicating artery
- P.C.A.:
-
Posterior cerebral artery
- T.I.A.:
-
Transient ischemic attack
- R.I.A.:
-
Reversible ischemic attack
- E.I.A.B.:
-
Extra-intracranial arterial bypass
References
Allcock JM (1967) Occlusion of the middle cerebral artery serial angiography as a guide to conservative therapy. J Neurosurg 27: 353
Anderson RE, Reichmann OH, Davies DO (1974) Radiological evaluation of temporal artery-middle cerebral artery anastomoses. Radiology 113: 73
Ausman JI, Latchaw RE, Lee MC, Ramirez-Lessepas M (1977) Results of multiple angiographic studies on cerebral revascularization patients. P. Schmiedek (ed) Microsurgery for Stroke, Springer, New York 220–229
Chater N, Popp J (1976) Microsurgical vascular bypass for occlusive cerebrovascular disease: review of 100 cases. Surg Neurol 6:115–118
Chater N (1976) Patient selection and results of extra to intracranial anastomosis in selected cases of cerebrovascular disease. Clin Neurosurg 23:287–309
Connolly JE, Stemmer EA (1973) Endarterectomy of the external carotid artery: its importance in the surgical management of extracranial cerebrovascular occlusive disease. Arch Surg 106: 779–802
Counttee RW, Vijayanathan T (1979) External carotid artery in internal carotid artery occlusion. Angiography, therapeutic and prognostic considerations. Stroke 10: 450–460
Deruty R, Lecurie J, Bret P, Capdeville J (1977) Results in 51 patients with EC-IC bypass: technical and clinical considerations. P. Schmiedek (ed) Microsurgery for stroke, Springer New York 218
Donaghy RMP, Yasargil MG (1968) Extra-intracranial blood flow diversion. American Ass of Neurol Surg, Chicago
Fagioli L, Marliani AF, Andreoli A, Limoni P, Zoni R, Trevisan C (1984) 81 T.I.A. patients examined with four vessel angiography and CT: comparative study. Angiology: New Developments. Plenum Publishing Co, London (in press)
Feild JR, McBurney RF (1972) Complications of 1000 brachial arteriograms. J Neurosurg 36: 324–332
Fox JL (1978) Cerebral arterial revascularization: the value of repeated angiography in selection of patients for operation. Neurosurgery 2: 205
Gratzl O, Schmiedek P, Spetzler R (1976) Clinical experience with extra-intracranial arterial anastomosis in 65 cases. J Neurosurg 44:313–324
Hass WK, Fields WS (1968) Joint study of extracranial arterial occlusion. II Arteriography techniques, sites and complications. JAMA 203:961–968
Khodadad G (1975) Transient postoperative occlusion of the superficial temporal-middle cerebral artery branch anastomosis: spasm, swelling or thrombosis. Surg Neurol 3: 341
Kletter G (1979) The extra-intracranial bypass operation for prevention and treatment of stroke. Springer, New York
Marshall J (1971) Angiography in the investigation of ischaemic episodes in the territory of the internal carotid artery. Lancet I: 719–721
Miller CF, Spetzler RF, Kopaniky DJ (1979) Middle meningeal to middle cerebral arterial bypass for cerebral revasculariziation. Case report. J Neurosurg 50: 802–804
Nishikawa M, Hashi K, Shiguma M (1979) Middle meningealmiddle cerebral artery anastomosis for cerebral ischemia. Surg Neurol 12
Pozzati E, Gaist G, Poppi M (1982) Resolution of occlusion in spontaneosly dissected carotid arteries. J Neurosurg 56
Reichman OH (1976) Selection of patients and clinical results following STA-cortical MCA anastomosis. In: Austin GM Microsurgical anastomoses for Cerebral Ischemia, Springfield CC Thomas pp 275–280
Reichman OH (1976) Neurosurgical microsurgical anastomosis for cerebral ischemia: five years' experiencez. In: Scheinberg P (ed) Cerebral vascular disease, Tenth Princeton Conference, New York, Raven Press pp 311–330
Ruggiero G, Dalbuono S, Tampieri D (1982) Right brachial angiography with compression. Neuroradiology 23: 53–61
Spetzler R, Chater N (1974) Occipital artery-middle cerebral anastomosis for cerebral artery occlusive disease. Surg Neurol 2: 235–238
Sundt TM, Siekert RG (1976) Bypass surgery for vascular disease of the carotid system. Mayo clinic Proc 51: 677
Tew JM (1975) Reconstructive intracranial vascular surgery for prevention of stroke. Clin Neurosurg 22: 264–280
Vitek JJ, Moravetz R (1982) Percutaneous transluminal angioplasty of the external carotid artery: preliminary report. Am J Neuroradiology 3: 541–546
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Marliani, A.F., Andreoli, A. & Testa, C. Angiographic technique in extra-intracranial arterial bypass for cerebral ischemia. Neuroradiology 26, 451–455 (1984). https://doi.org/10.1007/BF00342680
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DOI: https://doi.org/10.1007/BF00342680