Long Term Outcome of STA-proximal MCA Anastomosis in Patients with ICA or MCA Occlusive Disease

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Effect of STA-MCA anastomosis on the course of experimental acute MCA embolic occlusion.

The experiments in this report were designed to evaluate the effect of superficial temporal-middle cerebral artery (STA-MCA) anastomosis on the course of middle cerebral artery (MCA) occlusion by emboli while avoiding a vessel clipping technique as well as the use of long-acting barbiturate anesthesia. Dogs were divided into 3 general groups: A) embolus placement 1 h following anastomosis; B) e...

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[Effect of STA-MCA anastomosis on ischemic cerebrovascular disease. Correlation with intelligence and cerebral blood flow].

Regional cerebral blood flow (rCBF) was measured by the Xe-133 inhalation method in sixty patients before and after superficial temporal artery-middle cerebral artery (STA-MCA) anastomosis, which was performed in the chronic stage. The aim of this study was to assess the effect of the surgery on rCBF and to obtain objective criteria for the surgery. The results were as follows: 1) A close relat...

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Long-term assessment of cerebral perfusion following STA-MCA by-pass in patients.

A prospective study of mean hemispheric cerebral blood flow (CBF) correlated with clinical status has now been completed for the past 54 months. Thirty-eight patients underwent superficial temporal to middle cerebral artery (STA-MCA) by-pass. They were compared with 22 patients with similar arteriographic lesions and clinical symptoms, treated medically throughout the same interval of time. Ass...

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The hemodynamic effect of STA-MCA bypass.

rCBF was measured by 133Xenon inhalation at rest and during pCO2 manipulation in 19 patients prior to and at various times after STA-MCA bypass surgery. The resting flow increased gradually postoperatively, seemingly more due to progressive clinical recovery from the original neurologic disability than due to the surgical intervention. CO2 reactivity increased in some patients, more in those wh...

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Prediction of the Long-term Efficacy of STA-MCA Bypass by DSC-PI

Superficial temporal artery-middle cerebral artery (STA-MCA) bypass [1,2] is an important and effective type of surgical revascularization that is widely used in the treatment of ischemic cerebral artery disease. However, a means of predicting its postoperative efficacy has not been established [3,4]. The present study analyzes the correlation between preoperative perfusion parameters (obtained...

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ژورنال

عنوان ژورنال: Surgery for Cerebral Stroke

سال: 1999

ISSN: 0914-5508

DOI: 10.2335/scs1987.27.5_382