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Subarachnoid Hemorrhage pp 195–199Cite as

Current Open Surgical Indications for Revascularization in Cerebral Ischemia

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Part of the book series: Acta Neurochirurgica Supplement ((NEUROCHIRURGICA,volume 127))

Abstract

Cerebral revascularization was pioneered half a century ago. Gradual improvements in microsurgical instrumentation and training in microsurgical techniques have allowed significant changes that improved outcomes in neurosurgery, extrapolating this knowledge to other neurosurgical diseases (brain tumor, aneurysms, and skull base tumor surgery). But the popularity of cerebral bypass procedures was followed by their decline, given the lack of clear benefit of bypass surgery in chronic cerebrovascular ischemia after the EC-IC bypass studies. Over the last couple of decades, the formidable advance of neuro-endovascular techniques for revascularization has lessened the need for application of open cerebral revascularization procedures, either for flow augmentation or flow replacement. However, there is still a select group of patients with chronic cerebral ischemia, for whom open cerebral revascularization with flow augmentation is the only treatment option available, and this will be the objective of our current review.

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Conflict of Interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

  1. Neurosurgery Department, School of Medicine, Loma Linda University, Loma Linda, CA, USA

    Marc Timothy Eastin & Miguel Angel Lopez-Gonzalez

  2. Neurosurgery Department, Cleveland Clinic Foundation, Cleveland, OH, USA

    Vikram Badhri Chakravarthy

  3. Center for Neuroscience Research, School of Medicine, Loma Linda University, Loma Linda, CA, USA

    Fransua Sharafeddin

  4. Interventional Neuroradiology Department, School of Medicine, Loma Linda University, Loma Linda, CA, USA

    Daniel Hoss

Authors
  1. Marc Timothy Eastin
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  2. Vikram Badhri Chakravarthy
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  3. Fransua Sharafeddin
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  4. Daniel Hoss
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  5. Miguel Angel Lopez-Gonzalez
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Corresponding author

Correspondence to Miguel Angel Lopez-Gonzalez .

Editor information

Editors and Affiliations

  1. Department of Anethesiology, Loma Linda University Medical Center, Loma Linda, CA, USA

    Robert D. Martin

  2. Department of Neurosurgery, Loma Linda University Medical Center, Loma Linda, CA, USA

    Warren Boling

  3. Department of Neurosurgery, First Affiliated Hospital of Soochow University, Suzhou, China

    Gang Chen

  4. Department of Anesthesiology and Physiology, Loma Linda University Medical Center, Loma Linda, CA, USA

    John H. Zhang

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Eastin, M.T., Chakravarthy, V.B., Sharafeddin, F., Hoss, D., Lopez-Gonzalez, M.A. (2020). Current Open Surgical Indications for Revascularization in Cerebral Ischemia. In: Martin, R., Boling, W., Chen, G., Zhang, J. (eds) Subarachnoid Hemorrhage. Acta Neurochirurgica Supplement, vol 127. Springer, Cham. https://doi.org/10.1007/978-3-030-04615-6_31

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  • DOI: https://doi.org/10.1007/978-3-030-04615-6_31

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-04614-9

  • Online ISBN: 978-3-030-04615-6

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