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January 26, 1979, Vol 241, No. 4 >
ARTICLE | January 26, 1979

Microsurgical Treatment of Transient Cerebral Ischemia: Title and subTitle BreakPreliminary Results in 50 Patients FREE

Duke S. Samson, MD; Richard M. Hodosh, MD; W. Kemp Clark, MD
[+] Author Affiliations

Reprint requests to Division of Neurosurgery, University of Texas Health Sciences Center, 5323 Harry Hines Blvd, Dallas, TX 75235 (Dr Samson).


JAMA. 1979;241(4):376-378. doi:10.1001/jama.1979.03290300018018
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References

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)

REFERENCES

1 +
Whisnant JP:  Epidemiology of stroke: Emphasis on transient cerebral ischemic attacks and hypertension . Stroke 5:68-70, 1974;.
2 +
Heyman A, Leviton A, Millikan CH, et al:  Transient focal cerebral ischemia: Epidemiological and clinical aspects . Stroke 5:277-283, 1974;.
3 +
Goldner JC, Whisnant JP, Taylor WF:  Long-term prognosis of transient cerebral ischemic attacks . Stroke 2:160-167, 1971;.
4 +
Marshall J:  The natural history of transient ischemic attacks . Q J Med 33:309, 1964;.
5 +
Hass WK, Fields WS, North RR, et al:  Joint study of extracranial arterial occlusion: II. Arteriography, techniques, sites, and complications . JAMA 203:961-968, 1968;.
6 +
Blaisdell WF, Clauss RH, Galbraith JG, et al:  Joint study of extracranial arterial occlusion: IV. A review of surgical considerations . JAMA 209:1889-1895, 1968;.
7 +
Fields WS, Maslenikov V, Meyer JS, et al:  Joint study of extracranial arterial occlusion: V. Progress report of prognosis following surgery or nonsurgical treatment for transient cerebral ischemic attacks and cervical carotid artery lesions . JAMA 211:1993-2001, 1970;.
8 +
Fields WS:  Selection of stroke patients for arterial reconstructive surgery . Am J Surg 125:3-7, 1973;.
9 +
Woolsey RM, Jambrook GW:  EEG and angiographic findings in carotid artery transient ischemic attacks . Stroke 4:7-11, 1973;.
10 +
Ziegler DK, Hassanien RS:  Prognosis in patients with transient ischemic attacks . Stroke 4:666-673, 1973;.
11 +
Yasargil MG, Krayenbuhl HA, Jacobson JH:  Microneurosurgical arterial reconstruction . Surgery 67:221, 1970;.
12 +
Donaghey RMP:  What's new in surgery? Neurological surgery . Surg Gynecol Obstet 134:269-271, 1972;.
13 +
Yonekawa Y, Yasargil MG; Extra-intracranial arterial anastomosis:  Clinical and technical aspects , in Krayenbuhl H (ed): Advances and Technical Standards in Neurosurgery , ed 3, New York, Springer Publishing Co, 1976;, vol 3, pp 47-78.
14 +
Chater N, Popp J:  Microsurgical vascular bypass for occlusive cerebrovascular disease: Review of 100 cases . Surg Neurol 6:115-117, 1976;.
15 +
Gratzl O, Schmiedek P, Spetzler R, et al:  Clinical experience with extra-intracranial arterial anastomosis in 65 cases . J Neurosurg 44:313-324, 1976;.
16 +
Sundt TM, Siekert RG, Piepgras DG, et al:  Bypass surgery for vascular disease of the carotid system . Mayo Clin Proc 51:677-691, 1976;.
17 +
Crowell RM:  Electromagnetic flow studies of superficial temporal artery by-pass graft , in Austin GW (ed): Microsurgical Anastomoses for Cerebral Ischemia . Charles C Thomas Publisher, Springfield, Ill, 1976;, pp 116-124.
18 +
Spetzler R, Chater N:  Microvascular bypass surgery: II. Physiological studies . J Neurosurg 45:508-583, 1976;.
19 +
Schmiedek P, Gratzl O, Spetzler R, et al:  Selection of patients for extra-intracranial arterial by-pass surgery based on RCBF measurements . J Neurosurg 44:303-312, 1976;.
20 +
Heilbrun MP, Reichman OH, Anderson RE, et al:  Regional cerebral blood flow studies following superficial temporal-middle cerebral artery anastomosis . J Neurosurg 43:706-716, 1975;.

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1 +
Whisnant JP:  Epidemiology of stroke: Emphasis on transient cerebral ischemic attacks and hypertension . Stroke 5:68-70, 1974;.
2 +
Heyman A, Leviton A, Millikan CH, et al:  Transient focal cerebral ischemia: Epidemiological and clinical aspects . Stroke 5:277-283, 1974;.
3 +
Goldner JC, Whisnant JP, Taylor WF:  Long-term prognosis of transient cerebral ischemic attacks . Stroke 2:160-167, 1971;.
4 +
Marshall J:  The natural history of transient ischemic attacks . Q J Med 33:309, 1964;.
5 +
Hass WK, Fields WS, North RR, et al:  Joint study of extracranial arterial occlusion: II. Arteriography, techniques, sites, and complications . JAMA 203:961-968, 1968;.
6 +
Blaisdell WF, Clauss RH, Galbraith JG, et al:  Joint study of extracranial arterial occlusion: IV. A review of surgical considerations . JAMA 209:1889-1895, 1968;.
7 +
Fields WS, Maslenikov V, Meyer JS, et al:  Joint study of extracranial arterial occlusion: V. Progress report of prognosis following surgery or nonsurgical treatment for transient cerebral ischemic attacks and cervical carotid artery lesions . JAMA 211:1993-2001, 1970;.
8 +
Fields WS:  Selection of stroke patients for arterial reconstructive surgery . Am J Surg 125:3-7, 1973;.
9 +
Woolsey RM, Jambrook GW:  EEG and angiographic findings in carotid artery transient ischemic attacks . Stroke 4:7-11, 1973;.
10 +
Ziegler DK, Hassanien RS:  Prognosis in patients with transient ischemic attacks . Stroke 4:666-673, 1973;.
11 +
Yasargil MG, Krayenbuhl HA, Jacobson JH:  Microneurosurgical arterial reconstruction . Surgery 67:221, 1970;.
12 +
Donaghey RMP:  What's new in surgery? Neurological surgery . Surg Gynecol Obstet 134:269-271, 1972;.
13 +
Yonekawa Y, Yasargil MG; Extra-intracranial arterial anastomosis:  Clinical and technical aspects , in Krayenbuhl H (ed): Advances and Technical Standards in Neurosurgery , ed 3, New York, Springer Publishing Co, 1976;, vol 3, pp 47-78.
14 +
Chater N, Popp J:  Microsurgical vascular bypass for occlusive cerebrovascular disease: Review of 100 cases . Surg Neurol 6:115-117, 1976;.
15 +
Gratzl O, Schmiedek P, Spetzler R, et al:  Clinical experience with extra-intracranial arterial anastomosis in 65 cases . J Neurosurg 44:313-324, 1976;.
16 +
Sundt TM, Siekert RG, Piepgras DG, et al:  Bypass surgery for vascular disease of the carotid system . Mayo Clin Proc 51:677-691, 1976;.
17 +
Crowell RM:  Electromagnetic flow studies of superficial temporal artery by-pass graft , in Austin GW (ed): Microsurgical Anastomoses for Cerebral Ischemia . Charles C Thomas Publisher, Springfield, Ill, 1976;, pp 116-124.
18 +
Spetzler R, Chater N:  Microvascular bypass surgery: II. Physiological studies . J Neurosurg 45:508-583, 1976;.
19 +
Schmiedek P, Gratzl O, Spetzler R, et al:  Selection of patients for extra-intracranial arterial by-pass surgery based on RCBF measurements . J Neurosurg 44:303-312, 1976;.
20 +
Heilbrun MP, Reichman OH, Anderson RE, et al:  Regional cerebral blood flow studies following superficial temporal-middle cerebral artery anastomosis . J Neurosurg 43:706-716, 1975;.

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