Abstract
Before the application of the surgical microscope to neurosurgery, sporadic attempts were made to remove occlusive lesions of the intracranial arteries using conventional operative techniques. This was first accomplished in 1955 by Welch, who reported the surgical removal of obstructions from the middle cerebral artery in two cases. (16) One patient had an embolectomy for an occlusion distal to the posterior temporal branch and the other patient had an occlusion proximal to the lenticulostriate branches. In 1959 Scheibert(12) reported an experience of four cases and in 1960 Piazza and Gaist reported the removal of a shotgun pellet that embolized to the middle cerebral artery(10). Subsequent reports by Shillito,(13) Driesen,(4) Chou, (2) and Woringer(17) also described technical success in repairing intracranial arterial occlusive lesions without the benefits of the surgical microscope.
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© 1978 Springer-Verlag New York Inc.
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Fein, J.M. (1978). Contemporary techniques of cerebral revascularization. In: Fein, J.M., Reichman, O.H. (eds) Microvascular Anastomoses for Cerebral Ischemia. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-9911-0_14
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DOI: https://doi.org/10.1007/978-1-4612-9911-0_14
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