Open AccessCerebral Revascularization
Author(s) -
Jim L. Story,
Willis E. Brown,
E. Eidelberg,
Kit V. Arom,
James R. Stewart
Publication year - 1978
Publication title -
neurosurgery/neurosurgery online
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.485
H-Index - 34
eISSN - 1081-1281
pISSN - 0148-396X
DOI - 10.1227/00006123-197803000-00010
Subject(s) - medicine , middle cerebral artery , ischemia , cerebral blood flow , cerebral circulation , cardiology , revascularization , anesthesia , angiography , surgery , myocardial infarction
A right common carotid to distal middle cerebral artery bypass utilizing a saphenous vein graft was performed in a patient with episodic cerebral ischemia and reversible ischemic neurological deficit. The patient was relieved of his symptoms, and there was improved motor function in the left hand. Postoperative angiography revealed flow through the graft with excellent filling of the middle cerebral circulation, both retrograde and antegrade. This bypass procedure provided an immediate source of high volume blood flow and thereby provided immediate protection to the hemisphere.