NDLI: Clinical significance of STA-MCA double anastomosis for hemodynamic compromise in post-JET/COSS era.

Please wait, while we are loading the content...

Plurihormonal pituitary adenoma with concomitant adrenocorticotropic hormone (ACTH) and growth hormone (GH) secretion: a report of two cases and review of the literature.

Focused opening of the sylvian fissure for microsurgical management of MCA aneurysms.

Emergence of the white-collar sign after coil embolization of cerebral aneurysms.

Anatomical variants of the basal vein of Rosenthal: prevalence in idiopathic subarachnoid hemorrhage.

Frontobasal interhemispheric approach for large superasellar craniopharyngiomas: do the benefits outweigh the risks?

Spinal to accessory nerve transfer in traumatic brachial plexus palsy: is body mass index a predictor of outcome?

Beneficial impact of early cranioplasty in patients with decompressive craniectomy: evidence from transcranial Doppler ultrasonography.

Lateral ventricle's choroid plexus tumors surgery in children: how I do it.

Evaluation of cerebral aneurysm wall thickness in experimental aneurysms: comparison of 3T-MR imaging with direct microscopic measurements.

Combined endovascular and surgical treatment of fusiform aneurysms of the basilar artery: technical note.

Feasibility of insertion of a microcatheter through a Y-stent in coil embolization of cerebral aneurysms and its detailed geometry by micro-computed tomography.

Delayed abducens nerve palsy after transvenous coil embolization for cavernous sinus dural arteriovenous fistulae.

The epidural approach to the Meckel's cave: a how I do it.

Contralateral progression and its risk factor in surgically treated unilateral adult moyamoya disease with a review of pertinent literature.

Prognostic value of arterial blood gas disturbances for in-hospital mortality in pediatric patients with severe traumatic brain injury.

Blood pressure-lowering effect of carotid artery stenting in patients with symptomatic carotid artery stenosis.

Anatomy and morphology of giant aneurysms--angiographic study of 125 consecutive cases.

Recurrent craniopharyngiomas in children and adults: long-term recurrence rate and management.

Response to comments on 'Changes in wall shear stress magnitude after aneurysm rupture'.

Epidural skull base approach for dural arteriovenous fistulas (DAVF) of the anterior and middle cranial fossa.

Acute neurosurgery for traumatic brain injury by general surgeons in Swedish county hospitals: a regional study.

Fistula component of cerebral arteriovenous malformations: morphologic change after stereotactic radiosurgery and outcome of embolisation.

Relationship between the pituitary stalk angle in prefixed, normal, and postfixed optic chiasmata: an anatomic study with microsurgical application.

Clinical significance of STA-MCA double anastomosis for hemodynamic compromise in post-JET/COSS era.

Comparative outcomes of ulnar nerve transposition versus neurolysis in patients with entrapment neuropathy at the cubital tunnel: a 20-year analysis.

Spontaneous regression of restenosis after CEA: significance of preoperative plaque characteristics under duplex ultrasound; clinical investigation.

Year: 2013 Volume: 155

Year: 2012 Volume: 154

Year: 2011 Volume: 153

Year: 2010 Volume: 152

Year: 2009 Volume: 151

Year: 2008 Volume: 150

Clinical significance of STA-MCA double anastomosis for hemodynamic compromise in post-JET/COSS era.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Kuroda, Satoshi Kawabori, Masahito Hirata, Kenji Shiga, Tohru Kashiwazaki, Daina Houkin, Kiyohiro Tamaki, Nagara
Description	Author Affiliation: Kuroda S ( Department of Neurosurgery, Hokkaido University Graduate School of Medicine, Sapporo, Japan, skuroda@med.u-toyama.ac.jp.)
Abstract	BACKGROUND: Even after the recent randomized clinical trials JET and COSS, it is still unclear that impaired cerebrovascular reactivity (CVR) to acetazolamide and oxygen extraction fraction (OEF) can identify the candidates for superficial temporal artery to middle cerebral artery (STA-MCA) anastomosis. This prospective study was aimed to evaluate the benefits of STA-MCA 'double' anastomosis on long-term outcome in patients with reduced cerebral blood flow (CBF) and CVR (Type 3 ischemia) and elevated OEF attributable to occlusive carotid diseases. METHODS: This study included 49 patients with reduced CBF and CVR on SPECT in the ipsilateral MCA area. Using (15)O-gas PET, OEF was also measured in all patients. STA-MCA double anastomosis was recommended to the patients with Type 3 and elevated OEF. Those with Type 3 but normal OEF were medically treated. RESULTS: Of 36 patients with Type 3 and elevated OEF, 25 consented to surgery. No perioperative morbidity or mortality were noted. The other 11 patients with Type 3 and elevated OEF were medically treated. Annual incidence of ipsilateral stroke was 0.7% and 6.5% in surgically and medically treated patients with Type 3 and elevated OEF, respectively (P = 0.0188). None of patients with Type 3 but normal OEF developed ipsilateral stroke during follow-up periods. STA-MCA 'double' anastomosis significantly decreased OEF. CONCLUSIONS: STA-MCA 'double' anastomosis may still have the potential to reduce the risk of recurrent ipsilateral stroke in hemodynamically compromised patients. Further studies would be essential to advance diagnosis, surgical procedures, and perioperative managements to bring out maximal effects of bypass surgery.
File Format	HTM / HTML
ISSN	00016268
Issue Number	1
Volume Number	156
e-ISSN	09420940
Journal	Acta Neurochirurgica
Language	English
Publisher	Springer
Publisher Date	2014-01-01
Publisher Place	Austria
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Prospective Studies Humans Middle Aged Acetazolamide Male Middle Cerebral Artery Journal Article Surgery Adult Female Physiology Diagnosis Cerebral Revascularization Clinical Trials As Topic Stroke Drug Therapy Treatment Outcome Discipline Neurosurgery Pharmacology Cerebrovascular Circulation Carotid Artery, Internal Aged, 80 And Over Drug Effects Anastomosis, Surgical Vascular Surgical Procedures Carotid Stenosis Aged Hemodynamics Methods
Content Type	Text
Resource Type	Article
Subject	Neurology (clinical) Surgery

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Improvement in cerebral hemodynamic parameters and outcomes after superficial temporal artery-middle cerebral artery bypass in patients with severe stenoocclusive disease of the intracranial internal carotid or middle cerebral arteries.

STA-MCA bypass.

Salvage STA-MCA bypass surgery in an adult moyamoya patient after failed indirect revascularization surgery.

Hemodynamics and changes after STA-MCA anastomosis in moyamoya disease and atherosclerotic cerebrovascular disease measured by micro-Doppler ultrasonography.

Reversible occlusion of donor vessel caused by mouth opening after superficial temporal artery-middle cerebral artery anastomosis in adult moyamoya patients.

Evaluating middle cerebral artery collateral blood flow reserve using acetazolamide transcranial Doppler ultrasound in patients with carotid occlusive disease.

STA-MCA bypass for symptomatic carotid occlusion and haemodynamic impairment.

Carotid arterial intraplaque hemorrhage and calcification influences cerebral hemodynamics.

Is local hypoperfusion the reason for transient neurological deficits after STA-MCA bypass for moyamoya disease?

Clinical significance of STA-MCA double anastomosis for hemodynamic compromise in post-JET/COSS era.

Similar Documents

Improvement in cerebral hemodynamic parameters and outcomes after superficial temporal artery-middle cerebral artery bypass in patients with severe stenoocclusive disease of the intracranial internal carotid or middle cerebral arteries.

STA-MCA bypass.

Salvage STA-MCA bypass surgery in an adult moyamoya patient after failed indirect revascularization surgery.

Hemodynamics and changes after STA-MCA anastomosis in moyamoya disease and atherosclerotic cerebrovascular disease measured by micro-Doppler ultrasonography.

Reversible occlusion of donor vessel caused by mouth opening after superficial temporal artery-middle cerebral artery anastomosis in adult moyamoya patients.

Evaluating middle cerebral artery collateral blood flow reserve using acetazolamide transcranial Doppler ultrasound in patients with carotid occlusive disease.

STA-MCA bypass for symptomatic carotid occlusion and haemodynamic impairment.

Carotid arterial intraplaque hemorrhage and calcification influences cerebral hemodynamics.

Is local hypoperfusion the reason for transient neurological deficits after STA-MCA bypass for moyamoya disease?

Clinical significance of STA-MCA double anastomosis for hemodynamic compromise in post-JET/COSS era.