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Microsurgical Treatment of Transient Cerebral Ischemia Preliminary Results in 50 Patients

Duke S. Samson, MD; Richard M. Hodosh, MD; W. Kemp Clark, MD
JAMA. 1979;241(4):376-378. doi:10.1001/jama.1979.03290300018018.
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Extracranial-intracranial arterial bypass is a microneurosurgical procedure recently introduced in the treatment of a variety of cerebrovascular ischemic states. Fifty patients with transient ischemic attacks (TIAs) localized to the distribution of the internal carotid artery underwent this procedure during a 48-month period. All have been followed up for at least 14 months after surgery. There were no operative deaths, and notable postoperative morbidity has been experienced in less than 8% of cases. Seventy-six percent of patients have been asymptomatic since surgery, 14% have continued to experience TIAs, and 6% have had completed strokes (2% occurring in the operative hemisphere).

(JAMA 241:376-378, 1979)


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