Spontaneous recanalization of occluded standard extracranial-intracranial arterial bypass.
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Spontaneous recanalization of occluded standard extracranial-intracranial arterial bypass. / Scharf, Johann; Schmiedek, Peter; Kemmling, Andre; Gerigk, Lars; Groden, Christoph; Horn, Peter.
in: CEREBROVASC DIS, Jahrgang 23, Nr. 2-3, 2-3, 2007, S. 175-180.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Spontaneous recanalization of occluded standard extracranial-intracranial arterial bypass.
AU - Scharf, Johann
AU - Schmiedek, Peter
AU - Kemmling, Andre
AU - Gerigk, Lars
AU - Groden, Christoph
AU - Horn, Peter
PY - 2007
Y1 - 2007
N2 - BACKGROUND: In the event of early failure of standard extracranial-intracranial arterial bypass, elective but prompt revision surgery is generally attempted under the assumption that early occlusion is permanent. However, little is known about the occurrence of spontaneous revascularization. OBJECTIVE: To estimate the frequency and time course of spontaneous recanalization in primary extracranial-intracranial arterial bypass occlusion and re-evaluate diagnostic and therapeutic options facing spontaneous development. METHODS AND RESULTS: In a retrospective analysis 176 patients with standard superficial temporal artery/middle cerebral artery bypass were included. Twenty-three patients had primary bypass occlusion. In 7 cases spontaneous recanalization was observed. Follow-up of these cases is presented. CONCLUSIONS: Early bypass occlusion has a high incidence of spontaneous recanalization within the first year. In stable patients the first choice may be noninvasive follow-up and postponing revision operation.
AB - BACKGROUND: In the event of early failure of standard extracranial-intracranial arterial bypass, elective but prompt revision surgery is generally attempted under the assumption that early occlusion is permanent. However, little is known about the occurrence of spontaneous revascularization. OBJECTIVE: To estimate the frequency and time course of spontaneous recanalization in primary extracranial-intracranial arterial bypass occlusion and re-evaluate diagnostic and therapeutic options facing spontaneous development. METHODS AND RESULTS: In a retrospective analysis 176 patients with standard superficial temporal artery/middle cerebral artery bypass were included. Twenty-three patients had primary bypass occlusion. In 7 cases spontaneous recanalization was observed. Follow-up of these cases is presented. CONCLUSIONS: Early bypass occlusion has a high incidence of spontaneous recanalization within the first year. In stable patients the first choice may be noninvasive follow-up and postponing revision operation.
M3 - SCORING: Zeitschriftenaufsatz
VL - 23
SP - 175
EP - 180
JO - CEREBROVASC DIS
JF - CEREBROVASC DIS
SN - 1015-9770
IS - 2-3
M1 - 2-3
ER -