The Functional Defect of Surgically Injured Endothelial Cells and Its Influence on Extra-Intracranial Arterial Bypass Surgery

  • R. Meyermann
  • J. Wickboldt
Conference paper
Part of the Advances in Neurosurgery book series (NEURO, volume 13)


Different disturbances of the cerebrovascular system can be treated successfully by extra-intracranial arterial bypass (EIAB) surgery. Most of these disturbances are caused not by a localized nonpatent blood vessel but by a general disease of the circulatory system. This implies that the pathologically changed blood vessel causing the cerebral blood flow disturbances is not the only one exhibiting pathological changes. Thus it must be assumed that those extra- and intracranial arteries which come under consideration for EIAB surgery might be affected, too. This has been demonstrated in the case of the superficial temporal artery, which most often demonstrates a severe fibrosis of the tunica intima (3). However, these pathological changes do not prevent the use of this blood vessel for EIAB surgery.


Vessel Wall Acid Phosphatase Matrix Vesicle Tunica Medium Left Common Carotid Artery 
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Copyright information

© Springer-Verlag Berlin Heidelberg 1985

Authors and Affiliations

  • R. Meyermann
    • 1
  • J. Wickboldt
    • 2
  1. 1.Klinische Forschungsgruppe für Multiple SkleroseMax-Planck-GesellschaftWürzburgGermany
  2. 2.Neurochirurgische AbteilungFachkrankenhaus Klinik SchildautalSeesen, HarzGermany

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