Elective extracranial-intracranial arterial bypass in the treatment of inoperable giant aneurysms of the internal carotid artery

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  • 1 Department of Surgery, Division of Neurosurgery, Case Western Reserve University School of Medicine, University Hospitals, Cleveland, Ohio, and the Department of Neurosurgery, University of Vienna, Vienna, Austria
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✓ Thirteen patients with giant aneurysms of the internal carotid artery (ICA) were treated with ICA ligation and an extracranial-intracranial arterial bypass. A method for establishing a proper superficial temporal artery to middle cerebral artery pressure gradient while maintaining partial flow through the ICA is presented. This procedure allows the anastomosis to become established before full occlusion of the cervical ICA. None of these patients suffered any immediate or delayed ischemic or rebleed complications over an average follow-up period of 18 months.

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Contributor Notes

Present address for Dr. Schuster: Department of Neurosurgery, University of Vienna, Vienna, Austria.

Address reprint requests to: Robert F. Spetzler, M.D., Division of Neurosurgery, Case Western Reserve University, School of Medicine, 2074 Abington Road, Cleveland, Ohio 44106.
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