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Revascularization in the Acute Stage of the MCA Occlusion

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Book cover Microsurgery for Cerebral Ischemia

Abstract

Thromboembolectomy of the middle cerebral artery (MCA) was successfully performed by Welch in 1954 and a considerable number of patients underwent this procedure thereafter, with or without refinement of microsurgical techniques.2,9,15,17,18 The procedure lags, however, somewhat behind the superficial temporal artery-middle cerebral artery (STA-MCA) bypass pioneered by Yasargil and Donaghy in 1967.17 The purpose of this report is to present our experience with thromboembolectomy of the MCA in the acute stage on two cases and to reappraise the procedure.

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References

  1. Blaisdell, W.F., Clauss, R.H., Galbraith, J.G., et al. Joint study of extracranial arterial occlusion. IV. A review of surgical considerations. JAMA 209: 1889–1895, 1969.

    Article  PubMed  CAS  Google Scholar 

  2. Chou, S.N. Embolectomy of middle cerebral artery. Report of a case. J Neurosurg 20: 161–163, 1963.

    Article  Google Scholar 

  3. Crawford, E.S., Beali, A.C., Ellis, P.R. Jr., De-Bakey, M.E. A technic permitting operation upon small arteries. Surg Forum 10: 671–675, 1960.

    Google Scholar 

  4. Crowell, R.M. STA-MCA bypass for acute cerebral ischemia. In Microsurgery for Stroke, P. Schmiedek, editor, Springer-Verlag, New York, 1976, pp 244–250.

    Google Scholar 

  5. Crowell, R.M., Olsson, Y. Effects of extra-cranial intracranial vascular bypass graft on experimental acute stroke in dogs. J Neurosurg 38: 26–31, 1973.

    Article  PubMed  CAS  Google Scholar 

  6. Fein, J.M., Molinari, G. Experimental augmentation of regional blood flow by micro-vascular anastomosis. J Neurosurg 41: 421–426, 1974.

    Article  PubMed  CAS  Google Scholar 

  7. Hossman, K.A., Sato, K. Recovery of neuronal function after prolonged cerebral ischemia. Science 168: 375–376, 1970.

    Article  Google Scholar 

  8. Ito, Z., Hen, R., Nakajima, K., et al. Evaluation of functional reversibility of ischemic brain. Neurol Med Chir 16: 121–129, 1976.

    Article  CAS  Google Scholar 

  9. Jacobson, J.H., Wallman, L.J., Schumacher, G.A., et al. Microsurgery as an aid to middle cerebral artery endarterectomy. J Neurosurg 19: 108–115, 1962.

    Article  PubMed  Google Scholar 

  10. Kamijo, Y., Garcia, J.H., Cooper, J. Temporary regional ischemia in the cat. J Neuropathol Exp Neurol 36: 338–349, 1977.

    Article  Google Scholar 

  11. Little, J.R. Modification of acute focal ischemia by treatment with mannitol. Stroke 9: 4–9, 1978.

    Article  PubMed  CAS  Google Scholar 

  12. Little, J.R., Sundt, T.M. Jr., Kerr, F.W.L. Neuronal alterations in developing cortical infarction. An experimental study in monkeys. J Neurosurg 39: 186–198, 1974.

    Google Scholar 

  13. MacDonald, V.D., Sundt, T.M. Jr., Winkelmann, R.K. Histochemical studies in the zone of ischemia following middle cerebral artery occlusion in cats. J Neurosurg 37: 45–54, 1972.

    Article  PubMed  CAS  Google Scholar 

  14. Sundt, T.M. Jr., Grant, W.C., Garcia, J.H. Restoration of middle cerebral artery flow in experimental infarction. J Neurosurg 31: 311–322, 1969.

    Article  PubMed  Google Scholar 

  15. Welch, K. Excision of occlusive lesions of the middle cerebral artery. J Neurosurg 13: 73–80, 1956.

    Article  PubMed  CAS  Google Scholar 

  16. Wylie, E.J., Hein, M.F., Adams, J.E. Intracranial hemorrhage following surgical revascularization for treatment of acute strokes. J Neurosurg 21: 212–215, 1964.

    Article  PubMed  CAS  Google Scholar 

  17. Yasargil, M.G., Krayenbühl, H.G., Jacobson, J.H. Microneurosurgical arterial reconstruction. Surgery 67: 221–233, 1970.

    PubMed  CAS  Google Scholar 

  18. Zlotnik, E.I. Thromboembolectomy of the middle cerebral artery. Case report. J Neurosurg 42: 723–725, 1975.

    CAS  Google Scholar 

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© 1980 Springer-Verlag New York Inc.

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Yonekawa, Y., Handa, H., Terano, M., Teraura, T. (1980). Revascularization in the Acute Stage of the MCA Occlusion. In: Peerless, S.J., McCormick, C.W. (eds) Microsurgery for Cerebral Ischemia. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-6090-5_42

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  • DOI: https://doi.org/10.1007/978-1-4612-6090-5_42

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-6092-9

  • Online ISBN: 978-1-4612-6090-5

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