Skip to main content
SpringerLink
Log in

Microvascular bypass for cerebral ischemia—an overview, 1966–1976

  • Chapter
Microsurgery for Stroke

Abstract

It is now a decade since Yasargil performed the first superficial-temporal-artery—middle-cerebral-artery (STA-MCA) anastomosis on an experimental animal. This procedure was performed in a dog in the laboratory of R.M.P. Donaghy.(46,47,49) Krayenbuhl had recommended to Yasargil that he spend a year in Donaghy’s laboratory to study microvascular techniques in an attempt to devise a treatment for MCA embolic occlusions. This recommendation was precipitated by the occasional occurrence of embolic strokes following open heart surgery. (22,48)

“It is not enough to be busy, the question is: What are we busy about.”

Thoreau.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 16.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Anderson RE, Reichman OH, Davis DO: Radiological evaluation of temporal artery-middle cerebral artery anastomosis. Radiology 113: 73, 1974

    PubMed  CAS  Google Scholar 

  2. Austin G, Laffin D, Hayward W: Physiological factors in the selection of patients for superficial temporal artery to middle cerebral artery anastomoses. Surgery 75: 861, 1974

    PubMed  CAS  Google Scholar 

  3. Austin G, LaManna J, Jöbsis F: Measurement of oxidative metabolism during microanastomosis for cerebral ischemia. Annual Meeting, American Association of Neurological Surgeons, San Francisco, April 1976

    Google Scholar 

  4. Barker DJP, Weller RO, Garfield JS: Epidemiology of primary tumours of the brain and spinal cord: A regional survey in Southern England. J Neurol Neurosurg Psychiatry 39: 290, 1976

    Article  PubMed  CAS  Google Scholar 

  5. Buncke HJ, Schultz WP: Experimental digital amputation and reimplantation. Plast Reconstr Surg 36: 62, 1965

    Article  PubMed  Google Scholar 

  6. Chater N, Mani J, Tonnemacher K: Superficial temporal arterial bypass for cerebrovascular occlusive disease. Calif Med 119: 9, 1973

    PubMed  CAS  Google Scholar 

  7. Chater N, Peerless SJ: The early effects of neurosurgical microvascular bypass operations on problems of cerebrovascular occlusive disease. American Academy of Neurology Meeting, San Francisco, April 1974.

    Google Scholar 

  8. Chater N, Peters N: Neurosurgical microvascular bypass for stroke. West J Med 124: 105, 1976

    Google Scholar 

  9. Chater N, Popp J: Microsurgical vascular bypass for occlusive cerebrovascular disease: Review of 100 cases. Surg Neurol 6: 115, 1976

    PubMed  CAS  Google Scholar 

  10. Chater N, Spetzler R, Mani J: The spectrum of cerebrovascular occlusive disease suitable for microvascular bypass surgery. Angiology 26: 235, 1975

    Article  PubMed  CAS  Google Scholar 

  11. Chater N, Spetzler R, Tonnemacher K, Wilson CB: Microvascular bypass surgery. Part 1: Anatomical studies. J Neurosurg 44: 112, 1976

    Google Scholar 

  12. Drake CG: Giant intracranial aneurysms. Fifth Annual Neurosurgical Postgraduate Course, University of California Medical Center, San Francisco, May 1975

    Google Scholar 

  13. Donley RF, Sundt TM, Anderson RE, Shartraugh FW: Blood flow measurements and the “Look Through” artifact in focal cerebral ischemia. Stroke 6: 121, 1975

    Article  PubMed  CAS  Google Scholar 

  14. Ferguson GG, Peerless SJ: Extracranial intracranial arterial bypass in the treatment of dementia and multiple extracranial arterial occlusion. Eleventh Canadian Congress of Neurological Sciences, 1976

    Google Scholar 

  15. Fields WS: Selection of stroke patients for arterial reconstructive surgery. Am J Surg 125: 527, 1973

    Article  PubMed  CAS  Google Scholar 

  16. Gordon EE, Kohn KH: Evaluation of rehabilitation methods in the hemiplegic patient. J Chron Dis 12: 3, 1966

    Article  Google Scholar 

  17. Gratzl O, Schmiedek P, Spetzler R, Steinhoff H, Marguth F: Clinical experience with extra-intracranial arterial anastomoses in 65 cases. J Neurosurg 44: 313, 1976

    Article  PubMed  CAS  Google Scholar 

  18. Gresham GE, Fitzpatrick TE, Wolf PO, McNamara PM, Kannel WB, Dawber TR: Residual disability in survivors of stroke—the Framingham Study. N Engl J Med 292: 954, 1975

    Article  Google Scholar 

  19. Haas WK, Fields WS, North RR, Kicheff II, Chase NE, Bauer RB: Joint study of extracranial occlusion: II. Arteriography, techniques, sites and complications. J Am Med Assoc 203: 961, 1968

    Article  Google Scholar 

  20. Holbach KH, Wassmann H, Hoheluchter KL: Reversibility of the chronic post-stroke state. Stroke 7: 290, 1976

    Article  Google Scholar 

  21. Jacobson II JH, Suarez EL: Microsurgery in anastomosis of small vessels. Surg Forum 11: 243, 1960

    Google Scholar 

  22. Jacobson II, JH, Wallman, LJ, Schumacher, GA, Flanagan M, Suarez EL, Donaghy RMP: Microsurgery as an aid to middle cerebral artery endarterectomy. J Neurosurg 19: 108, 1962

    Article  PubMed  Google Scholar 

  23. Morley TP, Barr HWK: Giant intracranial aneurysms: Diagnosis, course and management. Clin Neurosurg 16: 73, 1973

    Google Scholar 

  24. Paulson GW, Kapp J, Cook W: Dementia associated with bilateral carotid artery disease. Geriatrics 21: 159, 1966

    PubMed  CAS  Google Scholar 

  25. Peerless SJ, Ferguson G: Panel discussion. Annual Meeting, American Association of Neurologic Surgeons, San Francisco, April 1976

    Google Scholar 

  26. Personal communications. Annual Meeting, American Association of Neurological Surgeons, San Francisco, April 1976

    Google Scholar 

  27. Reichman OH: Clinical experience with STA-MCA anastomosis in 85 patients. Third International Symposium on Microneurosurgical Anastomoses for Cerebral Ischemia, Munich, June 1976

    Google Scholar 

  28. Reichman OH: Continued patency of canine lingual-basilar system. Stroke 3: 586, 1972

    Article  PubMed  CAS  Google Scholar 

  29. Reichman OH: Estimation of flow through STA bypass graft. Third International Symposium on Microneurosurgical Anastomoses for Cerebral Ischemia, Munich, June 1976

    Google Scholar 

  30. Reichman OH: Experimental lingual-basilar arterial micro- anastomosis. J Neurosurg 34: 500, 1971

    Article  PubMed  CAS  Google Scholar 

  31. Reichman OH: Extracranial-intracranial arterial anastomosis. In Whisnant JP, Sandok BA (eds): Cerebral Vascular Diseases. New York, Grune & Stratton, 1975, pp 175–185

    Google Scholar 

  32. Schmiedek P, Gratzl O, Spetzler R, Steinhoff H, Enzenbach R, Brendel W, Marguth F: Criteria for the selection of patients for extra-intracranial arterial bypass surgery based on regional cerebral blood flow measurements. J Neurosurg 44: 303, 1976

    Article  PubMed  CAS  Google Scholar 

  33. Second International Symposium, Microsurgical Anastomosis for Cerebral Ischemia, Chicago, June 1974

    Google Scholar 

  34. Spetzler R, Chater N: Superficial temporal artery-middle cerebral artery blood flow measurements. American Association of Neurological Surgeons Meeting, St. Louis, April 1975

    Google Scholar 

  35. Spetzler R, Chater N: Occipital artery-middle cerebral anastomosis for cerebral artery occlusive disease. Surg Neurol 2: 235, 1974

    PubMed  CAS  Google Scholar 

  36. Symon L, Crockard HA, Dorsch NWC, Branston NM, Juhasz J: Local cerebral blood flow and vascular reactivity in a chronic stable stroke in baboons. Stroke 6: 482, 1975

    Article  PubMed  CAS  Google Scholar 

  37. Tew JM: Reconstructive intracranial vascular surgery for prevention of stroke. In Clinical Neurosurgery, Baltimore, Williams & Wilkins, 1975, pp. 264–279

    Google Scholar 

  38. The President’s Commission on Heart Disease, Cancer and Stroke. U.S. Government, Washington, D.C., 1973

    Google Scholar 

  39. Toole, JR, Janeway R, Choi K, Cordell R, Davis C, Johnston F, Miller HS: Transient ischemic attacks due to atherosclerosis. A prospective study in 160 patients. Arch Neurol 32: 5, 1975

    PubMed  CAS  Google Scholar 

  40. Waltz A: The patho-physiology of cerebral ischemia. Clin Neurosurg 23: 147, 1976

    PubMed  CAS  Google Scholar 

  41. Weinstein P, Chater NL, Ausman J, Lamond R: Extra- to intracranial bypass for occlusive vertebral basilar cerebrovascular disease. American Association of Neurological Surgeons, Miami, April 1975

    Google Scholar 

  42. Whisnant JP, Fitzgibbons JP, Kurland LT, Sayre GP: Natural history of stroke in Rochester, Minnesota, 1945 through 1954. Stroke 2: 11, 1971

    Article  PubMed  CAS  Google Scholar 

  43. Whisnant JP, Matsumoto N, Elveback LR: Transient cerebral ischemic attacks in a community, Rochester, Minnesota, 1955 through 1969. Mayo Clin Proc 48: 194, 1973

    PubMed  CAS  Google Scholar 

  44. Whisnant JP: Controversies in the management of extracranial cerebrovascular disease. (Annual Postgraduate Course, “Present Concepts in Internal Medicine,” Letterman General Hospital in San Francisco, October 1972. ) Fort Sam Houston, Texas, Videotape, U.S. Army Academy of Health Sciences, Television Division, 1972

    Google Scholar 

  45. Wylie EJ, Ehrenfeld WK: Extracranial Occlusive Cerebrovascular Disease; Diagnosis and Management. Philadelphia, Saunders, 1970

    Google Scholar 

  46. Yasargil MG: Microsurgery Applied to Neurosurgery. New York, Academic Press, 1969, pp 105–155

    Google Scholar 

  47. Yasargil MG, Krayenbühl HA, Jacobsen JH: Microneurosurgical arterial reconstruction. Surgery 67: 221, 1970

    PubMed  CAS  Google Scholar 

  48. Yasargil MG: Personal communication, 1976

    Google Scholar 

  49. Yasargil MG: Experimental small vessel surgery in the dog including patching and grafting of cerebral vessels and the formation of functional extra-intracranial shunts. In Donaghy RMP, Yasargil MG (eds): Microvascular Surgery, St. Louis, Mosby, 1967, pp 87–126

    Google Scholar 

Download references

Authors
  1. N. Chater
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. P. Weinstein
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. R. Spetzler
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Neurochirurgische Klinik, Klinikum Grosshadern, Marchioninistr. 15, Postfach: 701260, 8000, München 70, West Germany

    Peter Schmiedek

  2. Neurochirurgische Universitätsklinik, Klinikum Grosshadern, Marchioninistr. 15, D-8, München 70, West Germany

    Otmar Gratzl

  3. Division of Neurosurgery, University Hospitals of Cleveland, 2065 Adelbert Road, Cleveland, Ohio, 44106, USA

    Robert F. Spetzler

Rights and permissions

Reprints and permissions

Copyright information

© 1977 Springer-Verlag New York Inc.

About this chapter

Cite this chapter

Chater, N., Weinstein, P., Spetzler, R. (1977). Microvascular bypass for cerebral ischemia—an overview, 1966–1976. In: Schmiedek, P., Gratzl, O., Spetzler, R.F. (eds) Microsurgery for Stroke. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-6349-4_9

Download citation

  • DOI: https://doi.org/10.1007/978-1-4612-6349-4_9

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-6351-7

  • Online ISBN: 978-1-4612-6349-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation