Results of multiple angiographic studies on cerebral revascularization patients

  • J. I. Ausman
  • R. E. Latchaw
  • M. C. Lee
  • M. Ramirez-Lassepas


Cerebral revascularization procedures are being performed and reports of clinical success or improvement are being made in increasing numbers of patients. In nearly all instances the bypass is evaluated by Doppler, by blood flow studies, and/or by angiography. The Doppler is used by some to determine bypass patency instead of angiography, although little information about the correlation of the Doppler results with the anastomosis patency exists.(6) Blood flow techniques also are used to determine the patency and function of the bypass.(8) Angiography is not performed for several months after the bypass in some centers because of a concern for jeopardizing the anastomosis by early postoperative angiography.(3,13) There is little information on the immediate postoperative angiographic appearance of the bypass and its evolution with time.(l) Because such information may affect the evaluation of the clinical result postoperatively, we believe it would be important to record our observations made in 22 extra- intracranial anastomoses.


Middle Cerebral Artery Superficial Temporal Artery Blood Flow Study Graphic Filling Middle Cerebral Artery Branch 
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  1. 1.
    Anderson RE, Reichman OH, Davis DO: Radiological evaluation of temporal artery-middle cerebral artery anastomoses. Radiology 113: 73, 1974PubMedGoogle Scholar
  2. 2.
    Ausman JI, Moore J, Chou SN: Spontaneous cerebral revascularization in a patient with STA-MCA anastomoses. J Neurosurg 44: 84, 1976PubMedCrossRefGoogle Scholar
  3. 3.
    Austin G, Laffin D, Hayward W: Microcerebral anastomoses for the prevention of stroke. In Handa H (ed): Microneurosurgery, Baltimore, University Park Press, 1973Google Scholar
  4. 4.
    Bannister CM, Mundy LA, Mundy JA: Anastomosis of small arteries in growing animals. In Austin GM (ed): Microneurosurgical Anastomoses for Cerebral Ischemia, Springfield, Ill., Thomas, 1976Google Scholar
  5. 5.
    Chater N, Spetzler R, Mani J: The spectrum of cerebrovascular occlusive disease suitable for microvascular bypass surgery. Angiology 26: 235, 1975PubMedCrossRefGoogle Scholar
  6. 6.
    Chater N, Peters N: Neurosurgical microvascular bypass for stroke. West J Med 124: 1, 1976PubMedGoogle Scholar
  7. 7.
    Chater N: Personal communicationGoogle Scholar
  8. 8.
    Gratzl O, Schmiedek P, Spetzler R, Steinhoff H, Marguth F: Clinical experience with extra-intracranial arterial anastomosis in 65 cases. J Neurosurg 44: 313, 1976PubMedCrossRefGoogle Scholar
  9. 9.
    Gratzl O, Schmiedek P, Steinhoff H, Enzenbach R: Micro-neurosurgical anastomoses for cerebral ischemia in 39 patients—Clinical results, angiography, and regional cerebral blood flow. In Austin G (ed): Microneurosurgical Anastomoses for Cerebral Ischemia, Springfield, Ill, Thomas, 1976Google Scholar
  10. 10.
    Hartman CW, Kong Y, Margolis JR, Warren SG, Peter RH, Behar VS, Oldham HN: Aortocoronary bypass surgery: Correlation of angiographic symptomatic and functional improvement at 1 year. Am J Cardiol 37: 352, 1976PubMedCrossRefGoogle Scholar
  11. 11.
    Khodadad G: Transient postoperative occlusion of the superficial temporal-middle cerebral artery branch anastomosis: Spasm, swelling, or thrombosis. Surg Neurol 3: 341, 1975PubMedGoogle Scholar
  12. 12.
    Reichman OH, Anderson RE, Roberts TS, Heilbrun MP: The treatment of intracranial occlusive cerebrovascular disease by STA-cortical MCA anastomosis. In Handa H (ed): Micro-neurosurgery. Baltimore, University Park Press, 1973Google Scholar
  13. 13.
    Reichman OH: Personal communicationGoogle Scholar

Copyright information

© Springer-Verlag New York Inc. 1977

Authors and Affiliations

  • J. I. Ausman
  • R. E. Latchaw
  • M. C. Lee
  • M. Ramirez-Lassepas

There are no affiliations available

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