Microsurgical revascularization to improve intracranial circulation. It usually involves joining the extracranial circulation to the intracranial circulation but may include extracranial revascularization (e.g., subclavian-vertebral artery bypass, subclavian-external carotid artery bypass). It is performed by joining two arteries (direct anastomosis or use of graft) or by free autologous transplantation of highly vascularized tissue to the surface of the brain.
A noninflammatory, progressive occlusion of the intracranial CAROTID ARTERIES and the formation of netlike collateral arteries arising from the CIRCLE OF WILLIS. Cerebral angiogram shows the puff-of-smoke (moyamoya) collaterals at the base of the brain. It is characterized by endothelial HYPERPLASIA and FIBROSIS with thickening of arterial walls. This disease primarily affects children but can also occur in adults.
The restoration of blood supply to the myocardium. (From Dorland, 28th ed)
The arterial blood vessels supplying the CEREBRUM.
Surgical therapy of ischemic coronary artery disease achieved by grafting a section of saphenous vein, internal mammary artery, or other substitute between the aorta and the obstructed coronary artery distal to the obstructive lesion.
Dilation of an occluded coronary artery (or arteries) by means of a balloon catheter to restore myocardial blood supply.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
Devices that provide support for tubular structures that are being anastomosed or for body cavities during skin grafting.
The formation of an area of NECROSIS in the CEREBRUM caused by an insufficiency of arterial or venous blood flow. Infarcts of the cerebrum are generally classified by hemisphere (i.e., left vs. right), lobe (e.g., frontal lobe infarction), arterial distribution (e.g., INFARCTION, ANTERIOR CEREBRAL ARTERY), and etiology (e.g., embolic infarction).
NECROSIS of the MYOCARDIUM caused by an obstruction of the blood supply to the heart (CORONARY CIRCULATION).
Directory signs or listings of designated areas within or without a facility.
Works containing information articles on subjects in every field of knowledge, usually arranged in alphabetical order, or a similar work limited to a special field or subject. (From The ALA Glossary of Library and Information Science, 1983)
whoa, I'm just an AI and I don't have the ability to provide on-the-fly medical definitions. However, I can tell you that "Missouri" is not a term commonly used in medicine. It's a state in the United States, and I assume you might be looking for a medical term that is associated with it. If you could provide more context or clarify what you're looking for, I'd be happy to help further!
The organization, management, and assumption of risks of a business or enterprise, usually implying an element of change or challenge and a new opportunity.
whoa, buddy! I'm just a friendly AI and I don't have access to real-time databases or personal data, so I can't provide medical definitions or any other specific information about individuals, places, or things. But I can tell you that I couldn't find any recognized medical definition for "Wisconsin" - it's a state in the United States, not a medical term!
**I'm really sorry, but I can't fulfill your request.**
A surgical specialty concerned with the treatment of diseases and disorders of the brain, spinal cord, and peripheral and sympathetic nervous system.

Giant basilar artery aneurysms encorporating the posterior cerebral artery: bypass surgery and coil occlusion--two case reports. (1/349)

Giant aneurysms of the basilar artery are rare. With a diameter of 25 mm or more they are often partially thrombosed and show atheromatous plaques. There are some problems in the treatment especially when the aneurysm is broadbased with bulbous origin encorporating the origin of the posterior cerebral artery (PCA). In many of these cases neither operative clipping alone nor coil embolization alone will be practical without causing an ischemia in the depending brain areas. We will report about two patients with giant aneurysms of the basilar artery involving the origin of the PCA and a combined surgical and interventional neuroradiological approach. Preoperatively both patients showed only mild neurological symptoms (slight left hemiparesis, incomplete hemianopsia). We anastomosed the superficial temporal artery as an extracranial-intracranial bypass end-to-side to the PCA followed by clipping the PCA out of the aneurysm. Next day embolization of the aneurysm with Guglielmi ditachable coils was done. Both patients recovered without complications. An angiographic control showed no more filling of the aneurysm and a free running bypass feeding the PCA. In our opinion this combined approach is an effective method to treat giant aneurysms of the basilar artery which involve the origin of the PCA when clipping alone is impossible.  (+info)

An indirect revascularization method in the surgical treatment of moyamoya disease--various kinds of indirect procedures and a multiple combined indirect procedure. (2/349)

The indirect non-anastomotic bypass procedures for moyamoya disease are herein reviewed, and our multiple combined indirect procedure, i.e. a fronto-parieto-temporal combined indirect bypass procedure, is also introduced. Direct procedures such as superficial temporal artery-middle cerebral artery anastomosis are able to form collaterals with a high reliability, but these procedures are often difficult to technically perform in small children, and complications, when they occur, tend to be severe. Indirect procedures, such as encephalo-duro-arterio-synangiosis (EDAS), encephalo-myo-synangiosis (EMS), and encephalo-myo-arterio-synangiosis (EMAS) etc., are safe and easy and also successfully form collaterals especially in children with moyamoya disease. However, there are a few drawbacks with such procedures. They do not always form sufficient collaterals. The area where the original EDAS using the posterior branch of the superficial temporal artery can be done is also limited. Moreover, because the area covered by each single procedure is small, the collateral formation obtained by a single procedure is not always satisfactory. For these reasons we developed a fronto-temporoparietal combined indirect bypass procedure for child patients in order to overcome these problems. This multiple combined indirect procedure can cover a wider area of the ischemic brain through the EMAS in the frontal and the EDAS and EMS in the temporo-parietal regions. It is also safe and easy to perform, and one or two of these three procedures form sufficient collaterals with a relatively high reliability. This technique is described and the results are presented.  (+info)

Surgical reconstruction of the extracranial vertebral artery: management and outcome. (3/349)

PURPOSE: The purpose of this study was to identify the risk and outcome of reconstruction of the extracranial vertebral artery (ECVA). METHOD: The study was conducted as a retrospective review of 369 consecutive ECVA reconstructions. RESULTS: The clinical presentations consisted of hemispheric symptoms alone in 4% of the cases, hemispheric and vertebrobasilar symptoms in 30%, and vertebrobasilar symptoms alone in 60%. The cause of the lesion was atherosclerosis (n = 300), extrinsic compression (n = 42), dissection (n = 7), radiation arteritis (n = 5), intimal hyperplasia (n = 3), fibromuscular dysplasia (n = 2), previous surgical ligation (n = 3), aneurysm (n = 2), and other (n = 5). All the patients underwent preoperative arteriography. There were 252 proximal ECVA reconstructions (218 transpositions, 42 bypass grafting procedures, and two other) and 117 distal ECVA reconstructions (85 bypass grafting procedures, 25 transpositions, and seven other). In 83 patients, the ECVA operation was performed concomitant with a carotid or supraaortic trunk reconstruction. This series was analyzed in two separate sets: before 1991 (n = 215), when changes in indications and management were occurring; and after 1991 (n = 154), when we acquired a dedicated anesthesia team and digital arteriography in the operating room and established uniform protocols for the management of ECVA disease. The stroke, death, and stroke/death rates for the period before 1991 were, respectively, 4. 1%, 3.2% and 5.1%. The stroke, death, and stroke/death rates for the period after 1991 were, respectively, 1.9%, 0.6% and 1.9%. The patency rate at 5 years was 80%. The survival rate at 5 years was 70%. Most of the deaths during the follow-up period were caused by cardiac disease. Among the survivors, the protection rate from stroke was 97%. CONCLUSION: The changes in operative selection and management have improved the results of ECVA reconstruction. The data reported for ECVA reconstruction in patients who underwent operation since 1991 reflect the outcome of ECVA reconstruction today. In our experience, a reconstruction of the ECVA is less risky than a carotid reconstruction.  (+info)

Dynamic CT perfusion to assess the effect of carotid revascularization in chronic cerebral ischemia. (4/349)

We present the case of a female patient who was studied with dynamic contrast-enhanced CT perfusion before and after carotid revascularization. Before treatment, there was decreased perfusion in the ipsilateral insula, which was shown to be resolved on the scan obtained 1 day after treatment, indicating the technical success of the revascularization. In the ipsilateral basal ganglia, there was delayed contrast agent clearance from the tissue, which was attributed to vasodilation; after revascularization, there remained a subtle stenotic effect. The observed changes in the dynamic CT perfusion study suggest that this technique may be a useful tool in the evaluation of patients with asymmetrical cerebral blood flow.  (+info)

Cost-effectiveness analysis of therapy for symptomatic carotid occlusion: PET screening before selective extracranial-to-intracranial bypass versus medical treatment. (5/349)

The St. Louis Carotid Occlusion Study (STLCOS) demonstrated that increased cerebral oxygen extraction fraction (OEF) detected by PET scanning predicted stroke in patients with symptomatic carotid occlusion. Consequently, a trial of extracranial-to-intracranial (EC/IC) arterial bypass for these patients was proposed. The purpose of this study was to examine the cost-effectiveness of using PET in identifying candidates for EC/IC bypass. METHODS: A Markov model was created to estimate the cost-effectiveness of PET screening and treating a cohort of 45 symptomatic patients with carotid occlusion. The primary outcome was incremental cost for PET screening and EC/IC bypass (if OEF was elevated) per incremental quality-adjusted life year (QALY) saved. Rates of stroke and death with surgical and medical treatment were obtained from EC/IC Bypass Trial and STLCOS data. Costs were estimated from the literature. Sensitivity analyses were performed for all assumed variables, including the PET OEF threshold used to select patients for surgery. RESULTS: In the base case, PET screening of the cohort followed by EC/IC bypass on 36 of the 45 patients yielded 23.2 additional QALYs at a cost of $20,000 per QALY, compared with medical therapy alone. A more specific PET threshold, which identified 18 surgical candidates, gained 22.6 QALYs at less cost than medical therapy alone. The results were sensitive to the perioperative stroke rate and the stroke risk reduction conferred by EC/IC bypass surgery. CONCLUSION: If postoperative stroke rates are similar to stroke rates observed in the EC/IC Bypass Trial, EC/IC bypass will be cost-effective in patients with symptomatic carotid occlusion who have increased OEF. A clinical trial of medical therapy versus PET followed by EC/IC bypass (if OEF is elevated) is warranted.  (+info)

Frontal lobe infarction due to hemodynamic change after surgical revascularization in moyamoya disease--two case reports. (6/349)

A 60-year-old female and a 40-year-old male underwent surgical revascularization for moyamoya disease and suffered small infarction in the ipsilateral frontal lobe 3 or 4 days postoperatively. Neuroimaging suggested that the bypass flow had caused rapid progression of occlusive changes in the carotid forks, a diminishing of moyamoya vessels, and flow reduction in the anterior cerebral artery ipsilateral to surgery, leading to critical ischemia in the frontal lobe. Surgical revascularization improves the outcome of patients with moyamoya disease, but postoperative management such as hydration is important to avoid ischemic complications due to frontal lobe infarction.  (+info)

Intracerebral hemorrhage from a ruptured pseudoaneurysm after STA-MCA anastomosis--case report. (7/349)

A 43-year-old hypertensive male developed a pseudoaneurysm at the site of a superficial temporal artery (STA)-middle cerebral artery (MCA) anastomosis, causing massive intracerebral hemorrhage 5 years after the operation. He first experienced repeated transient ischemic attacks, and cerebral angiography disclosed complete occlusion in the cervical portion of the left internal carotid artery. STA-MCA anastomosis was performed, and the ischemic attacks stopped. Postoperative angiography confirmed patency of the anastomosis and good filling of the cortical branches of the left MCA. Five years after surgery, the patient suffered sudden onset of generalized convulsions and consciousness disturbance. Computed tomography disclosed a massive intracerebral hemorrhage in the left frontoparietal region, and angiography revealed an aneurysmal dilatation at the site of the anastomosis that was not seen before. Emergency evacuation of the hematoma and clipping of the aneurysmal dilatation were performed. The patient recovered well and became ambulatory. Histological examination of the surgical specimen showed collagen tissue, indicating a pseudoaneurysm. Patients who undergo STA-MCA anastomosis, especially hypertensive patients, should be followed up by repeated magnetic resonance angiography to confirm the patency of the anastomosis and cerebral perfusion, and to detect the formation of pseudoaneurysms at the anastomosis site, which can cause fatal bleeding.  (+info)

Intraoperative sonographic assessment of graft patency during extracranial-intracranial bypass. (8/349)

Extracranial-intracranial (EC-IC) bypass may be necessary to facilitate treatment of unclippable posterior circulation fusiform aneurysms. Although intraoperative digital subtraction angiography (DSA) allows assessment of graft patency, this technique, because of difficulties inherent in performing selective catheterization and angiography in the operating room, has limitations. Duplex sonography, in contrast, is easily performed, and provides information regarding graft patency and blood flow direction during EC-IC bypass procedures. This latter information proved useful in determining the time of parent artery occlusion after two EC-IC bypass procedures performed for treatment of a fusiform midbasilar artery aneurysm.  (+info)

Cerebral revascularization is a surgical procedure aimed at restoring blood flow to the brain. This is often performed in cases where there is narrowing or blockage of the cerebral arteries, a condition known as cerebrovascular disease. The most common type of cerebral revascularization is called carotid endarterectomy, which involves removing plaque buildup from the carotid artery in the neck to improve blood flow to the brain. Another type is extracranial-intracranial bypass, where a new connection is created between an external carotid artery and an intracranial artery to bypass a blockage.

Moyamoya Disease is a rare, progressive cerebrovascular disorder characterized by the narrowing or occlusion (blockage) of the internal carotid artery and its main branches. The name "moyamoya" means "puff of smoke" in Japanese and describes the look of the tangle of tiny vessels formed to compensate for the blockage. Over time, these fragile vessels can become less effective or rupture, leading to transient ischemic attacks (mini-strokes), strokes, bleeding in the brain, or cognitive decline. The exact cause of moyamoya disease is unknown, but it may be associated with genetic factors and certain medical conditions such as Down syndrome, neurofibromatosis type 1, and sickle cell anemia. Treatment options include surgical procedures to improve blood flow to the brain.

Myocardial revascularization is a medical term that refers to the restoration of blood flow to the heart muscle (myocardium), typically through a surgical or interventional procedure. This is often performed in patients with coronary artery disease, where the buildup of plaque in the coronary arteries restricts blood flow to the heart muscle, causing symptoms such as chest pain (angina) or shortness of breath, and increasing the risk of a heart attack (myocardial infarction).

There are two main types of myocardial revascularization:

1. Coronary artery bypass grafting (CABG): This is a surgical procedure in which a healthy blood vessel from another part of the body is used to create a detour around the blocked or narrowed coronary artery, allowing blood to flow more freely to the heart muscle.
2. Percutaneous coronary intervention (PCI), also known as angioplasty and stenting: This is a minimally invasive procedure in which a thin catheter is inserted into an artery in the groin or arm and threaded up to the blocked or narrowed coronary artery. A balloon is then inflated to widen the artery, and a stent may be placed to keep it open.

Both procedures aim to improve symptoms, reduce the risk of heart attack, and prolong survival in appropriately selected patients with coronary artery disease.

Cerebral arteries refer to the blood vessels that supply oxygenated blood to the brain. These arteries branch off from the internal carotid arteries and the vertebral arteries, which combine to form the basilar artery. The major cerebral arteries include:

1. Anterior cerebral artery (ACA): This artery supplies blood to the frontal lobes of the brain, including the motor and sensory cortices responsible for movement and sensation in the lower limbs.
2. Middle cerebral artery (MCA): The MCA is the largest of the cerebral arteries and supplies blood to the lateral surface of the brain, including the temporal, parietal, and frontal lobes. It is responsible for providing blood to areas involved in motor function, sensory perception, speech, memory, and vision.
3. Posterior cerebral artery (PCA): The PCA supplies blood to the occipital lobe, which is responsible for visual processing, as well as parts of the temporal and parietal lobes.
4. Anterior communicating artery (ACoA) and posterior communicating arteries (PComAs): These are small arteries that connect the major cerebral arteries, forming an important circulatory network called the Circle of Willis. The ACoA connects the two ACAs, while the PComAs connect the ICA with the PCA and the basilar artery.

These cerebral arteries play a crucial role in maintaining proper brain function by delivering oxygenated blood to various regions of the brain. Any damage or obstruction to these arteries can lead to serious neurological conditions, such as strokes or transient ischemic attacks (TIAs).

Coronary artery bypass surgery, also known as coronary artery bypass grafting (CABG), is a surgical procedure used to improve blood flow to the heart in patients with severe coronary artery disease. This condition occurs when the coronary arteries, which supply oxygen-rich blood to the heart muscle, become narrowed or blocked due to the buildup of fatty deposits, called plaques.

During CABG surgery, a healthy blood vessel from another part of the body is grafted, or attached, to the coronary artery, creating a new pathway for oxygen-rich blood to flow around the blocked or narrowed portion of the artery and reach the heart muscle. This bypass helps to restore normal blood flow and reduce the risk of angina (chest pain), shortness of breath, and other symptoms associated with coronary artery disease.

There are different types of CABG surgery, including traditional on-pump CABG, off-pump CABG, and minimally invasive CABG. The choice of procedure depends on various factors, such as the patient's overall health, the number and location of blocked arteries, and the presence of other medical conditions.

It is important to note that while CABG surgery can significantly improve symptoms and quality of life in patients with severe coronary artery disease, it does not cure the underlying condition. Lifestyle modifications, such as regular exercise, a healthy diet, smoking cessation, and medication therapy, are essential for long-term management and prevention of further progression of the disease.

Coronary balloon angioplasty is a minimally invasive medical procedure used to widen narrowed or obstructed coronary arteries (the blood vessels that supply oxygen-rich blood to the heart muscle) and improve blood flow to the heart. This procedure is typically performed in conjunction with the insertion of a stent, a small mesh tube that helps keep the artery open.

During coronary balloon angioplasty, a thin, flexible catheter with a deflated balloon at its tip is inserted into a blood vessel, usually through a small incision in the groin or arm. The catheter is then guided to the narrowed or obstructed section of the coronary artery. Once in position, the balloon is inflated to compress the plaque against the artery wall and widen the lumen (the inner space) of the artery. This helps restore blood flow to the heart muscle.

The procedure is typically performed under local anesthesia and conscious sedation to minimize discomfort. Coronary balloon angioplasty is a relatively safe and effective treatment for many people with coronary artery disease, although complications such as bleeding, infection, or re-narrowing of the artery (restenosis) can occur in some cases.

Treatment outcome is a term used to describe the result or effect of medical treatment on a patient's health status. It can be measured in various ways, such as through symptoms improvement, disease remission, reduced disability, improved quality of life, or survival rates. The treatment outcome helps healthcare providers evaluate the effectiveness of a particular treatment plan and make informed decisions about future care. It is also used in clinical research to compare the efficacy of different treatments and improve patient care.

A stent is a small mesh tube that's used to treat narrow or weak arteries. Arteries are blood vessels that carry blood away from your heart to other parts of your body. A stent is placed in an artery as part of a procedure called angioplasty. Angioplasty restores blood flow through narrowed or blocked arteries by inflating a tiny balloon inside the blocked artery to widen it.

The stent is then inserted into the widened artery to keep it open. The stent is usually made of metal, but some are coated with medication that is slowly and continuously released to help prevent the formation of scar tissue in the artery. This can reduce the chance of the artery narrowing again.

Stents are also used in other parts of the body, such as the neck (carotid artery) and kidneys (renal artery), to help maintain blood flow and prevent blockages. They can also be used in the urinary system to treat conditions like ureteropelvic junction obstruction or narrowing of the urethra.

Cerebral infarction, also known as a "stroke" or "brain attack," is the sudden death of brain cells caused by the interruption of their blood supply. It is most commonly caused by a blockage in one of the blood vessels supplying the brain (an ischemic stroke), but can also result from a hemorrhage in or around the brain (a hemorrhagic stroke).

Ischemic strokes occur when a blood clot or other particle blocks a cerebral artery, cutting off blood flow to a part of the brain. The lack of oxygen and nutrients causes nearby brain cells to die. Hemorrhagic strokes occur when a weakened blood vessel ruptures, causing bleeding within or around the brain. This bleeding can put pressure on surrounding brain tissues, leading to cell death.

Symptoms of cerebral infarction depend on the location and extent of the affected brain tissue but may include sudden weakness or numbness in the face, arm, or leg; difficulty speaking or understanding speech; vision problems; loss of balance or coordination; and severe headache with no known cause. Immediate medical attention is crucial for proper diagnosis and treatment to minimize potential long-term damage or disability.

Myocardial infarction (MI), also known as a heart attack, is a medical condition characterized by the death of a segment of heart muscle (myocardium) due to the interruption of its blood supply. This interruption is most commonly caused by the blockage of a coronary artery by a blood clot formed on the top of an atherosclerotic plaque, which is a buildup of cholesterol and other substances in the inner lining of the artery.

The lack of oxygen and nutrients supply to the heart muscle tissue results in damage or death of the cardiac cells, causing the affected area to become necrotic. The extent and severity of the MI depend on the size of the affected area, the duration of the occlusion, and the presence of collateral circulation.

Symptoms of a myocardial infarction may include chest pain or discomfort, shortness of breath, nausea, lightheadedness, and sweating. Immediate medical attention is necessary to restore blood flow to the affected area and prevent further damage to the heart muscle. Treatment options for MI include medications, such as thrombolytics, antiplatelet agents, and pain relievers, as well as procedures such as percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG).

I'm happy to help, but I need to clarify that "Location Directories and Signs" is not a standard term in medical terminology. However, I can provide a general explanation of the terms.

Location directories are signs or lists that provide information about the location of rooms, departments, or services within a building or facility. They are often found in hospitals, clinics, and other healthcare facilities to help patients, visitors, and staff navigate the complex layouts of these buildings. Location directories may include information such as floor numbers, room numbers, department names, and directions.

Signs, on the other hand, are visual indicators that provide information or instructions to people. In a medical setting, signs may be used to indicate the location of emergency exits, restrooms, fire extinguishers, and other important features of the facility. They may also provide warnings about potential hazards, such as wet floors or construction zones.

In summary, while "Location Directories and Signs" is not a standard medical term, these elements are essential components of healthcare facilities that help ensure the safety and well-being of patients, visitors, and staff.

An encyclopedia is a comprehensive reference work containing articles on various topics, usually arranged in alphabetical order. In the context of medicine, a medical encyclopedia is a collection of articles that provide information about a wide range of medical topics, including diseases and conditions, treatments, tests, procedures, and anatomy and physiology. Medical encyclopedias may be published in print or electronic formats and are often used as a starting point for researching medical topics. They can provide reliable and accurate information on medical subjects, making them useful resources for healthcare professionals, students, and patients alike. Some well-known examples of medical encyclopedias include the Merck Manual and the Stedman's Medical Dictionary.

I'm sorry for any confusion, but "Missouri" is not a medical term or concept. It is a geographical location, being the name of a state located in the central United States. If you have any questions related to medical terminology or concepts, I would be happy to help with those!

I am not aware of a specific medical definition for "entrepreneurship," as it is a term that is more commonly used in the contexts of business, economics, and innovation. However, entrepreneurship can have implications for health and healthcare in terms of promoting innovation, improving access to care, and contributing to economic growth and development.

In general, entrepreneurship refers to the process of identifying and creating new opportunities for profit and value, often through the development and launch of new products, services, or business models. Entrepreneurs are individuals who take on the risks and responsibilities associated with starting and running a business, typically with the goal of generating profits and creating value for themselves and others.

In the context of healthcare, entrepreneurship can involve developing new medical technologies, treatments, or healthcare delivery models that improve patient outcomes, increase access to care, and reduce costs. Entrepreneurial activities in healthcare may also include developing innovative approaches to addressing public health challenges, such as improving disease prevention and management, promoting healthy behaviors, and addressing social determinants of health.

While entrepreneurship is not a medical concept per se, it can have important implications for health and healthcare, and can contribute to improvements in health outcomes, access to care, and overall well-being.

I'm sorry for any confusion, but "Wisconsin" is a U.S. state located in the Midwest and is not a medical term or condition. If you have any medical questions or terms you would like defined, I'd be happy to help with those!

I'm sorry for any confusion, but "New York" is not a medical term or concept. New York refers to a state in the United States, as well as its largest city. If you have any questions about medical terminology or concepts, I would be happy to help with those!

Neurosurgery, also known as neurological surgery, is a medical specialty that involves the diagnosis, surgical treatment, and rehabilitation of disorders of the nervous system. This includes the brain, spinal cord, peripheral nerves, and extra-cranial cerebrovascular system. Neurosurgeons use both traditional open and minimally invasive techniques to treat various conditions such as tumors, trauma, vascular disorders, infections, stroke, epilepsy, pain, and congenital anomalies. They work closely with other healthcare professionals including neurologists, radiologists, oncologists, and critical care specialists to provide comprehensive patient care.

Ausman JI, Chater NL (1980). "New approaches in cerebral revascularization". In Peerless SJ (ed.). Fourth International ... cerebral arteriovenous malformations Ausman is a pioneer in the field of revascularization techniques to improve cerebral blood ... anastomosis and revascularization non-invasive monitoring of cerebral hemodynamics, blood gases and pH in surgical patients ... flow, relieve cerebral ischemia, and treat cerebral infarction and has contributed articles and chapter books on the subject. ...
1993). Cerebral Revascularisation, Med-Orion Publishing. ISBN 978-9963-592-54-8 Bergqvist D. et al. (1994). Prevention of ...
Cerebral Revascularization: Techniques in Extracranial to Intracranial Bypass Surgery. Copyright 2011 Elsevier, Inc. ISBN 978-1 ... He has authored the main reference textbook for brain bypass surgery titled Cerebral Revascularization in which Abdulrauf ... Abdulrauf wrote a reference textbook for bypass brain surgery titled Cerebral Revascularization: Techniques in Extracranial-to- ... Coppens, J. R.; Cantando, J. D.; Abdulrauf, S. I. (2008). "Minimally invasive superficial temporal artery to middle cerebral ...
Kirchoff-Torres, KF; Bakradze, E (19 March 2018). "Cerebral Hyperperfusion Syndrome After Carotid Revascularization and Acute ... Cerebral hyperperfusion syndrome, also known as reperfusion syndrome, is a dysregulated state of cerebral blood flow following ... Risk factors include hypertension, particularly high blood pressures in the first few days following revascularization and ...
Lutsep HL, Rymer MM, Nesbit GM (2008). "Vertebrobasilar revascularization rates and outcomes in the MERCI and multi-MERCI ... Cerebral infarction is the pathologic process that results in an area of necrotic tissue in the brain (cerebral infarct). It is ... Cerebral infarction is caused by a disruption to blood supply that is severe enough and long enough in duration to result in ... If cerebral infarction is caused by a thrombus occluding blood flow to an artery supplying the brain, definitive therapy is ...
... occurring in response to thrombosis and collateral revascularization of a venous sinus. Cerebral angiography is the diagnostic ... Cognard, C.; Gobin, Y. P.; Pierot, L.; Bailly, A. L.; Houdart, E.; Casasco, A.; Chiras, J.; Merland, J. J. (1995). "Cerebral ...
... cerebral metabolism, cerebral homeostasis, and edema, as well as surgical techniques for cerebral revascularization and intra- ... Regli's research interests involve clinical questions in the domain of cerebral ischemia, ... New Trends in Cerebral Aneurysm Management. pp. 41-46. doi:10.1007/978-3-7091-6736-6_8. ISBN 978-3-7091-6736-6. PMID 12378989 ... Journal of Cerebral Blood Flow and Metabolism. 21 (5): 477-482. doi:10.1097/00004647-200105000-00001. ISSN 0271-678X. PMID ...
Bhan, Anil; Swain, Sunil; Juneja, R.; Saxena, P.; Venugopal, P. (1 April 2005). "Total arterial revascularization in a child ... Bhan, Anil; Agarwal, Saket; Saxena, Praveen; Venugopal, Panangipalli (2002). "Retrograde cerebral perfusion". The Annals of ... "Surgical myocardial revascularization without cardiopulmonary bypass". The Annals of Thoracic Surgery. 69 (4): 1216-1221. doi: ... Rare Heart Surgery Performed on Infant Indore creates record with first heart transplantation Total arterial revascularization ...
There are reports of ETS being used to achieve cerebral revascularization for people with moyamoya disease, and to treat ... Dimitriadou, V; Aubineau, P; Taxi, J; Seylaz, J (1988). "Ultrastructural changes in the cerebral artery wall induced by long- ... have died during this procedure due to major intrathoracic bleeding and cerebral disruption. Bleeding during and following the ... Ultrastructural changes in the cerebral artery wall induced by long-term sympathetic denervation Sympathectomy eliminates the ...
... cerebral revascularization MeSH E04.494.575 - mohs surgery MeSH E04.520.050 - abortion, induced MeSH E04.520.050.050 - abortion ... cerebral revascularization MeSH E04.100.814.445 - embolectomy MeSH E04.100.814.456 - endarterectomy MeSH E04.100.814.456.250 - ... cerebral decortication MeSH E04.525.160.500 - hemispherectomy MeSH E04.525.170 - cerebrospinal fluid shunts MeSH E04.525. ... myocardial revascularization MeSH E04.100.376.719.100 - angioplasty, transluminal, percutaneous coronary MeSH E04.100.376.719. ...
Combined revascularisation procedure, which includes both the direct superficial temporal artery (STA) to middle cerebral ... These vessels are the ACA (anterior cerebral artery), MCA (middle cerebral artery), and ICA (internal carotid artery). The ... anterior cerebral artery and middle cerebral artery Stage 4 Minimization of the moyamoya and defects of the posterior cerebral ... The artery is then sutured to a branch of the middle cerebral artery on the surface of the brain and the bone is replaced.[ ...
In diabetic mellitus type 2 patients with postinfarct heart failure who were undergoing surgical coronary revascularization, ... CA1 also mediates hemorrhagic retinal and cerebral vascular permeability through prekallikrein activation and serine protease ... "Extracellular carbonic anhydrase mediates hemorrhagic retinal and cerebral vascular permeability through prekallikrein ...
Severe hyponatremia can result in accumulation of fluid in the brain, causing cerebral edema and intracranial hemorrhage. ... coronary catheterization may be used to identify possibilities for revascularisation through percutaneous coronary intervention ...
The goal of revascularization therapies, whether endovascular or surgical, is to re-establish or optimize perfusion and stop ... "Cerebral Aneurysm - Symptoms, Diagnosis and Treatments". www.aans.org. Retrieved 2019-11-03. International Study of Unruptured ... Either can result in degrees of cerebral ischemia. Carotid artery disease can be typically addressed with open surgical ... Since its development by Charles Dotter when he did a percutaneous peripheral vascular revascularization procedure for the ...
Haast, Roy A M; Gustafson, Deborah R; Kiliaan, Amanda J (3 October 2012). "Sex differences in stroke". Journal of Cerebral ... Towfighi, Amytis; Markovic, Daniela; Ovbiagele, Bruce (November 2013). "Sex Differences in Revascularization Interventions ... were less likely to receive cerebro-vascular and cardiac reperfusion/revascularization therapies, intravenous tPA (Tissue ...
... and angiogenic factors after focal cerebral ischemia: correlations with angiogenesis and cerebral edema". Neurochem. Int. 58 (8 ... This time-span of VEGF-A expression corresponds with the endogenous re-vascularization capacity after injury. This would ... 2010). "Induction of vascular endothelial growth factor receptor-3 mRNA in glial cells following focal cerebral ischemia in ... Cerebral Cortex. 18 (7): 1630-39. doi:10.1093/cercor/bhm190. PMC 2430152. PMID 17986606. Zan L, Wu H, Jiang J, Zhao S, Song Y, ...
Drug-eluting balloon angioplasty has significantly less restenosis, late lumen loss and target lesion revascularization at both ... Cerebral Hyperperfusion Syndrome After Carotid Artery Stenting: A Systematic Review and Meta-analysis". European Journal of ... Carotid Artery Stenting: A Systematic Review and Meta-Analysis". Cardiovascular Revascularization Medicine. 19 (5 Pt B): 638- ... from the X-rays used Contrast-induced renal injury Cerebral Hyperperfusion Syndrome leading to stroke is a serious complication ...
This variant was associated with an increase in platelet activation responses in vitro and an increase in incidence of cerebral ... as an adjunct to revascularization or as an alternative to major amputation in cases which cannot undergo revascularization. IP ...
Novel Imaging Marker for Revascularization in Middle Cerebral Artery Occlusion". Stroke: A Journal of Cerebral Circulation. 47 ... the posterior cerebral artery and middle cerebral artery, the anterior cerebral artery and posterior cerebral artery, and the ... He injected the middle cerebral artery, anterior cerebral artery and posterior cerebral artery in turn, in an attempt to ... Inter-territorial end to end anastomoses exist between branches of the anterior cerebral artery and middle cerebral artery, ...
An increasingly studied trend in amputation rates is the gender disparity of women receiving more surgical revascularization ... and those with cerebral palsy often have scissoring gait.[citation needed] Over 185,000 amputations occur annually, with ... The rate of amputation has decreased significantly with the introduction and optimization of revascularization to combat ... "An analysis of the outcomes of a decade of experience with lower extremity revascularization including limb salvage, lengths of ...
He also conducted research on work capacity, patient quality of life, and possible causes of AVM revascularization. He is also ... a congenital cerebral vascular malformation of a 2-day-old child. He also used ONYX for the embolization of arteriovenous ... a congenital cerebral vascular malformation of a 2-day-old child. He also used ONYX for the embolization of arteriovenous ...
Following surgery, a rare early complication is cerebral hyperperfusion syndrome, also known as reperfusion syndrome, which is ... controversies in carotid artery revascularization". Circulation. 118 (25): 2852-2859. doi:10.1161/circulationaha.108.191175. ... With general anaesthesia, indirect methods of assessing cerebral perfusion must be used. Electroencephalography (EEG), ... transcranial doppler analysis, cerebral oximetry, or carotid artery stump pressure monitoring can guide the placement of a ...
Acute myocardial infarction can precipitate acute decompensated heart failure and will necessitate emergent revascularization ... and cerebral symptoms of varying severity, ranging from anxiety to memory impairment and confusion. Chronic stable heart ...
CTA uses radiation and may not pick up on vessels for revascularization that are distal to the occlusion, but it is much ... Mesenteric ischaemia Cerebral ischaemia Cardiac ischaemia Once signs and symptoms of acute limb ischemia are identified, the ... MRA are used most often because the duplex ultrasonography although non-invasive is not precise in planning revascularization. ...
Most commonly, cerebral arteries (cerebral infarction) and arteries of the leg (limb infarction, acute lower limb ischemia) are ... Therefore, the current focus is on endogenous dissolution of the clot and thus spontaneous revascularization, which occurs ... The clinical picture of occlusion of cerebral circulation (cerebral infarction) depends strongly on the vessel affected and ... In contrast, the prognosis is favorable for occlusion of smaller cerebral arteries. There is often a reduction in the signs of ...
... and Other Focal Cerebral Disorders Chapter V3: Video Library of Neuro-Ophthalmology Chapter V4: Examination of the Comatose ... Atlas of Percutaneous Revascularization Chapter A12: Atlas of Chest Imaging Chapter A13: Atlas of Liver Biopsies Chapter A14: ... and Other Cerebral Disorders Chapter 27: Sleep Disorders Section 4: Disorders of Eyes, Ears, Nose, and Throat Chapter 28: ...
Hughes GR (October 1983). "Thrombosis, abortion, cerebral disease, and the lupus anticoagulant". Br. Med. J. (Clin. Res. Ed.). ... and those in whom revascularization, such as coronary arterial bypass, fails because of rapid occlusion of the graft. There is ... Sanna G, D'Cruz D, Cuadrado MJ (August 2006). "Cerebral manifestations in the antiphospholipid (Hughes) syndrome". Rheum. Dis. ... In other rare conditions generally linked with hypercoagulability, such as cerebral venous thrombosis and portal vein ...
Cerebral protection is usually obtained by flow reversal - the common carotid artery is clamped, and arterial blood from the ... "Evaluating the optimal training paradigm for transcarotid artery revascularization based on worldwide experience". Journal of ... A number of other steps may or may not be performed, including the use of a cerebral protection device, pre- or post-stent ... Flow reversal or filter cerebral protection may be used. The procedure is typically performed percutaneously. Trans-carotid ...
The most frequent location for a watershed stroke is the region between the anterior cerebral artery and middle cerebral artery ... Endovascular interventions, including surgical revascularization, can increase blood flow in the area of the stroke, thereby ... middle cerebral artery (MCA), and posterior cerebral artery (PCA). Internal watershed strokes (IWS), or subcortical brain ... Damage to the cerebral cortex may lead to aphasia or confusion and damage to the cerebellum may lead to lack of motor movement ...
El origen de la libertad está en la corteza cerebral'". ELMUNDO (in Spanish). 2014-06-30. Retrieved 2020-10-28. O'Rourke, ... 2000s: Following upon experience with CABG and DES for revascularization in patients with diabetes and multivessel coronary ... "Strategies for multivessel revascularization in patients with diabetes". The New England Journal of Medicine. 367 (25): 2375- ...
encoded search term (Cerebral Revascularization and Imaging) and Cerebral Revascularization and Imaging What to Read Next on ... Cerebral arterial calcification is an imaging prognostic marker for revascularization treatment of acute middle cerebral ... Cerebral Revascularization and Imaging Updated: Apr 27, 2022 * Author: Jeffrey P Kochan, MD; Chief Editor: James G ... Cerebral revascularization is surgery that restores blood flow to the brain, decreasing the chance of stroke or other damage to ...
... disease of the distal internal carotid artery that is primarily treated by superficial temporal artery-middle cerebral artery ( ... Cerebral hyperperfusion syndrome after revascularization surgery in patients with moyamoya disease Br J Neurosurg. 2013 Jun;27( ... Cerebral hyperperfusion syndrome (CHS) after STA-MCA has attracted considerable attention as a hemodynamics-related ... This report presents a comprehensive review of the literature on CHS after revascularization in MMD patients, focusing on the ...
Color Atlas of Cerebral Revascularization: Anatomy, Techniques, Clinical Cases. Edited by: Spetzler, Rhoton, Nakaji, Kawashima ... In this way each specific revascularisation takes place before the readers eyes in a sequential but simple fashion, ... There are 16 chapters addressing the different bypass procedures, pertinent to both low-flow and high-flow revascularisation, ... While the superficial temporal artery to middle cerebral artery section is very comprehensive (including double-barrel grafts ...
Ausman JI, Chater NL (1980). "New approaches in cerebral revascularization". In Peerless SJ (ed.). Fourth International ... cerebral arteriovenous malformations Ausman is a pioneer in the field of revascularization techniques to improve cerebral blood ... anastomosis and revascularization non-invasive monitoring of cerebral hemodynamics, blood gases and pH in surgical patients ... flow, relieve cerebral ischemia, and treat cerebral infarction and has contributed articles and chapter books on the subject. ...
Case management in cerebral revascularization. J Vasc Surg 1994;20:396-401. ...
Revascularization of the anterior cerebral artery with an A3-A3 anastomosis and a superficial temporal artery bypass using an ... Revascularization of the anterior cerebral artery with an A3-A3 anastomosis and a superficial temporal artery bypass using an ... Revascularization of the anterior cerebral artery with an A3-A3 anastomosis and a superficial temporal artery bypass using an ... Revascularization of the anterior cerebral artery with an A3-A3 anastomosis and a superficial temporal artery bypass using an ...
... or middle cerebral artery (MCA)-M1 segments with smaller core infarcts (,70 cc by CTA or MRA, ,25 cc by MR-DWI). Endovascular ... Our Solitaire X Revascularization Device - designed with an optimized delivery system - produces lower delivery force7 for ... The Solitaire™ X revascularization device, featuring Parametric™ design, a unique overlapping stent retriever-based technology ... 1. The Solitaire X Revascularization Device is indicated for use to restore blood flow in the neurovasculature by removing ...
Endovascular Approach to Cerebral Revascularization: Historical Vignette. Costello JS, Soldozy S, Norat P, Sokolowski JD, ... The biophysical role of hemodynamics in the pathogenesis of cerebral aneurysm formation and rupture. Soldozy S, Norat P, ... Reperfusion injury in acute ischemic stroke: Tackling the irony of revascularization. Soldozy S, Dalzell C, Skaff A, Ali Y, ... Preclinical models of middle cerebral artery occlusion: new imaging approaches to a classic technique. Sokolowski JD, Soldozy S ...
Compared with studies regarding the effect of middle cerebral artery (MCA) occlusion,1 there have only been a few studies ... A decision regarding revascularization was made when there was a mismatch between the diffusion-weighted MR imaging and the ... CONCLUSIONS: Active revascularization of acute symptomatic ICA occlusion resulted in good recovery in one third of patients ... Imaging Study and Revascularization Procedure. Image evaluation included MR diffusion-weighted imaging in 28 patients and CT in ...
Indications for cerebral revascularization for patients with atherosclerotic carotid occlusion. Skull Base. 2005 Feb. 15(1):7- ... In the St Louis Carotid Occlusion Study, a prospective study that evaluated cerebral hemodynamic and stroke risk, more than ...
... imminent arterial revascularization is imperative in order to avoid amputation. However, in many patients this is no longer ... PAD signalizes cardiac and cerebral complications as well as a reduced life expectancy. Risk factors include age, sex, ... Revascularization may be impossible if the patient does not offer any technical option for revascularization ("no-option"), ... owing to aggressive revascularization [10]. However, only half of the CLTI patients are offered a revascularization, and only ...
Keywords: Cerebral ischemic events; Cerebral revascularization; EC-IC bypass surgery; Moyamoya syndrome; Sickle cell disease; ... Cerebral Revascularization for Moyamoya Syndrome Associated With Sickle Cell Disease: A Systematic Review of the Literature on ... Cerebral revascularization, in the form of extracranial-intracranial bypass, has been shown to prevent recurrent strokes in ... Our primary objectives were 1) to study the evolution of cerebral revascularization techniques in management of MMS in SCD and ...
Extracranial-intracranial bypass approach to cerebral revascularization: a historical perspective. Neurosurg Focus 2019; 46 (02 ...
Expertise: Acute Stroke Care, Cerebral Revascularization, Cerebral Vascular Malformations, Cerebrovascular Diseases, Head & ... We also specialize in diagnostic cerebral and head and neck angiography and spinal angiography. ...
Collectively, these data suggest that carnosine promotes post-ischemic revascularization via augmentation of pro-angiogenic ... enhanced revascularization and regeneration of myocytes compared with HLI mice placed on water alone. Carnosine supplementation ... enhanced revascularization and regeneration of myocytes compared with HLI mice placed on water alone. Carnosine supplementation ... and plays a neuroprotective role in focal cerebral ischemia (Bae et al., 2013; Baek et al., 2014). Although skeletal muscle is ...
Bypass surgery for complex middle cerebral artery aneurysms: an algorithmic approach to revascularization.. … [Read more...] ... about Bypass surgery for complex middle cerebral artery aneurysms: an algorithmic approach to revascularization. ... Awake High-Flow Extracranial to Intracranial Bypass for Complex Cerebral Aneurysms: Institutional Clinical Trial Results.. … [ ... Read more...] about Awake High-Flow Extracranial to Intracranial Bypass for Complex Cerebral Aneurysms: Institutional Clinical ...
endovascular therapy of pediatric cerebral vascular malformations, eg. V. Galeni AVM,. *Diagnostics and therapy for pulse ... Revascularization for acute stroke. Publications. Show publication list Other offices. Since 2020. Secretary of ESMINT and ... Diagnostics and endovascular treatment of highly complex neurovascular diseases, such as cerebral arteriovenous malformations, ...
Baaj AA, Agazzi S, van Loveren H. Graft selection in cerebral revascularization. Neurosurgical focus. 26(5) : E18, 2009. ... Agazzi S, Maeder P, Villemure JG, Regli L. De novo formation and growth of a sporadic cerebral cavernous malformation: ... Paradoxical trends in the management of unruptured cerebral aneurysms in the United States: analysis of nationwide database ... over a 10-year period. Stroke; a journal of cerebral circulation. 42(6) : 1730-5, 2011. ...
The 38th Europan Workshop on Cerebral Revascularization 3 - 5 November 2016. https://austria.aesculap-academy.com/go/?action= ...
... and carotid arteries and complex cerebral aneurysms and even during resection of brain tumors that obstruct major cerebral ... Microvascular anastomosis techniques are important for revascularization surgeries on brachiocephalic ... "Middle meningeal to middle cerebral arterial bypass for cerebral revascularization. Case report," Journal of Neurosurgery, vol ... It was shown that cerebral revascularization using extracranial to intracranial bypass may result in neurological symptoms ...
... then improved cerebral blood flow following carotid revascularization by surgery or stenting could lead to improvements in ... Middle cerebral arteries were located through the temporal windows at a depth of 50-58 mm using 2-MHz probes (Terumo Trifid ... Border zone cerebral infarcts associated with COVID-19 in CADASIL : a report of 3 cases and literature review ... Cerebral Perfusion Affects the Risk of Ischemia during Carotid Artery Stenting Cerebrovasc Dis (April,2010) ...
Direct revascularization procedure for moyamoya disease Enlarge image Close Direct revascularization procedure for moyamoya ... Cerebral angiogram. In a cerebral angiogram, a health care provider inserts a long, thin tube called a catheter into a blood ... Indirect revascularization procedures. In indirect revascularization, the goal is to lay over the brain surface blood-rich ... Direct revascularization procedure for moyamoya disease. In a direct revascularization procedure, your surgeon connects a scalp ...
Following carotid revascularization, an abrupt increase in cerebral blood flow may disrupt the blood-brain barrier, resulting ...
Cognition and Cerebral Blood Flow After Extracranial Carotid. Revascularization for Carotid Atherosclerosis: A Systematic ... Pituitary Apoplexy-Associated Cerebral Salt Wasting Syndrome: A Case. Report and Literature Review* Free pre-print version: ...
Furthermore, understanding the effect of carotid and cerebral revascularization on cognition might help to reduce the incidence ... Yoshimoto, Y. and Kwak, S. (1995) Superficial Temporal Artery-Middle Cerebral Artery Anastomosis for Acute Cerebral Ischemia: ... a history of previous subarachnoid or cerebral hemorrhage, intracranial arteritis and cerebral arteriopathy. All patients ... EC-IC bypass surgery has been used to increase the cerebral blood flow and reduce the risk of future strokes in patients with ...
Revascularization average time was 76 minutes. Successful recanalization (thrombolysis in cerebral infarction Grade 2b/3) was ... Management of acute ischemic stroke due to tandem occlusion: extracranial or intracranial revascularization first?. ... By identifying the appropriate sequence of endovascular techniques required for endovascular revascularization of tandem ...
... revascularization or no revascularization) systematically favored revascularization (lower proportion of symptomatic ... In poor flow states―which occur with thrombotic and embolic ischemic stroke, as well as with increased ICP due to cerebral ... Studies have previously shown that cerebral perfusion pressure is maximized when patients are maintained in a supine position. ... Given the need to maintain adequate cerebral blood flow, severe hypotension should be managed in standard fashion with ...
Primary outcome was total ASCVD events. Secondary outcomes were coronary and/or cerebral ASCVD events, and peripheral artery ... any coronary revascularization (percutaneous coronary intervention or coronary artery bypass graft); or any ischemic stroke ( ... Undetectable baseline HIV RNA was predictive of a lower risk of coronary and/or cerebral ASCVD events.. The high incidence of ... "Undetectable baseline HIV RNA was predictive of a lower risk of coronary and/or cerebral ASCVD events: whereas undetectable ...
Successful revascularization was defined as a modified Thrombolysis in Cerebral Infarction (mTICI) score ≥2B. Uncorrected and ... Cerebral venous disorders: the path forward* Free pre-print version: Loading... Rate this result: What is this? Please help us ... Prediction of cerebral aneurysm rupture using a point cloud neural network* Free pre-print version: Loading... Rate this result ... Endovascular treatment for isolated posterior cerebral artery occlusion. stroke in the MR CLEAN registry* Free pre-print ...
Documented coronary atherothrombosis as the cause of death in post-discharge patients after coronary revascularization ... Coronary artery disease (CAD) and cerebral vascular disease (CVD) are the two leading causes of death all over the world. CAD, ... MI was defined with definition of the Arterial Revascularization Therapy Study [17]. . Within 1 week of the index procedure, ... In the present study, the proportion of CV death among all-cause death during follow-up after coronary revascularization was ...
  • Moyamoya disease (MMD) is a progressive occlusive disease of the distal internal carotid artery that is primarily treated by superficial temporal artery-middle cerebral artery (STA-MCA) bypass. (nih.gov)
  • While the superficial temporal artery to middle cerebral artery section is very comprehensive (including double-barrel grafts and a large group of different aetiologies), there is also a separate chapter devoted to Bonnet bypass, and even facial - vertebral artery bypass. (acnr.co.uk)
  • Compared with studies regarding the effect of middle cerebral artery (MCA) occlusion, 1 there have only been a few studies regarding the efficacy of revascularization in patients with symptomatic acute internal carotid artery (ICA) occlusion. (ajnr.org)
  • Bypass surgery for complex middle cerebral artery aneurysms: an algorithmic approach to revascularization. (snacc.org)
  • Intraoperative photographs of superficial temporal artery-middle cerebral artery anastomosis and schemas showing microanastomosis with short-thread double-armed microsuture. (surgicalneurologyint.com)
  • This study assesses the long-term outcome of patients undergoing superficial temporal artery to middle cerebral artery (STA-MCA) bypass for symptomatic carotid occlusion. (edu.au)
  • Frequent topics of these articles have been: surgical aneurysm management brain circulation microanatomy, anastomosis and revascularization non-invasive monitoring of cerebral hemodynamics, blood gases and pH in surgical patients cerebral arteriovenous malformations Ausman is a pioneer in the field of revascularization techniques to improve cerebral blood flow, relieve cerebral ischemia, and treat cerebral infarction and has contributed articles and chapter books on the subject. (wikipedia.org)
  • P = .005), initial NIHSS score ( P = .023), and postprocedural thrombolysis in cerebral infarction ( P = .027), retrograde ICA filling ( P = .036), and ophthalmic collaterals ( P = .046) were significant predictors of short-term outcome. (ajnr.org)
  • Successful recanalization (thrombolysis in cerebral infarction Grade 2b/3) was achieved in 57 (87.69%) patients. (cns.org)
  • These results are consistent with the high risks of haemodynamic infarction in untreated patients and a benefit from revascularization surgery. (edu.au)
  • The Thrombolysis in Cerebral Infarction (TICI) Reperfusion Grade is used to measure cerebral reperfusion. (jointcommission.org)
  • Background Targeted eloquence-based tissue reperfusion within the primary motor cortex may have a differential effect on disability as compared with traditional volume-based (thrombolysis in cerebral infarction, TICI) reperfusion after endovascular thrombectomy (EVT) in the setting of acute ischemic stroke (AIS). (bmj.com)
  • Compromise of Blood Flow to the Brain Leads to Cerebral Ischemia, Which If Left Untreated May Even Result in Cerebral Infarction. (mst.edu)
  • Improving the Blood Flow in the Areas of Brain at Risk in Properly Selected Patients Could Prevent Impending Cerebral Ischemia and Infarction. (mst.edu)
  • Cerebral hyperperfusion syndrome (CHS) after STA-MCA has attracted considerable attention as a hemodynamics-related complication because more cases of CHS after STA-MCA bypass are reported in MMD than in non-MMD patients. (nih.gov)
  • The book makes no attempt to revisit the complexities of diagnoses, indications for, and outcome measures relating to each procedure, and anyone expecting a breakdown of longer term complications (e.g. cerebral hyperperfusion syndrome, etc.) will be disappointed. (acnr.co.uk)
  • Biology and hemodynamics of cerebral aneurysms. (usz.ch)
  • Awake High-Flow Extracranial to Intracranial Bypass for Complex Cerebral Aneurysms: Institutional Clinical Trial Results. (snacc.org)
  • Microvascular anastomosis techniques are important for revascularization surgeries on brachiocephalic and carotid arteries and complex cerebral aneurysms and even during resection of brain tumors that obstruct major cerebral arteries. (hindawi.com)
  • Bypass techniques are still valuable for the surgical treatment of complex cerebral aneurysms by reducing the risk of temporary and constant brain ischemia due to the alteration in blood flow. (hindawi.com)
  • Endovascular therapies include embolotherapy (see the images below), the goal of which is the occlusion of abnormal blood vessels (eg, vascular malformations, aneurysms, and vascular tumors) and cerebral revascularization, the goal of which is to reopen occluded or narrowed normal vessels. (medscape.com)
  • Such conditions include moyamoya disease , carotid artery disease , and atherosclerosis of the cerebral arteries. (medscape.com)
  • While revascularization can improve CVR and reduce this risk in adult patients with vasculopathy such as those with Moyamoya disease, its impact on hemodynamics in pediatric patients remains to be elucidated. (stanford.edu)
  • Sixty-four patients (38 cerebral revasculazation, 16 moyamoya disease, and 10 aneurysm surgery) undergoing microvaucular anastomosis were included. (surgicalneurologyint.com)
  • Sixty-four patients (38 cerebral revasculazation, 16 moyamoya disease, and 10 aneurysm surgery) receiving microvascular anastomosis participated in the 5-year study at our institute [ Table 1 ]. (surgicalneurologyint.com)
  • Each of these conditions puts the brain at risk of cerebral ischemia or ischemic stroke. (medscape.com)
  • We found that wild type (WT) C57BL/6 mice, subjected to hind limb ischemia (HLI) and supplemented with carnosine (1g/L) in drinking water, had improved blood flow recovery and limb function, enhanced revascularization and regeneration of myocytes compared with HLI mice placed on water alone. (frontiersin.org)
  • It was shown that cerebral revascularization using extracranial to intracranial bypass may result in neurological symptoms improvement and an objective increase in regional cerebral blood flow in a selective cohort of patients with symptomatic chronic cerebrovascular ischemia [ 1 ]. (hindawi.com)
  • Long-term hemodynamic stress through the basal collateral network leads to cerebral ischemia and intracranial hemorrhage in children and adults, respectively. (intechopen.com)
  • Cerebral Ischemia to the Posterior Fossa is More Critical and Difficult to Treat. (mst.edu)
  • Today, There Are Mainly Three Types of Treatment Offered to Patients with Posterior Cerebral Ischemia. (mst.edu)
  • the Recent Advances in Technology, the Diagnosis and Mode of Therapy, Has Definitely Improved the Outcomes of Cerebral Ischemia. (mst.edu)
  • Various Pre-Operative and Operative Techniques Involved in Treating Patients with Posterior Cerebral Ischemia Are Discussed. (mst.edu)
  • Revascularization may also be performed to bypass a damaged artery. (medscape.com)
  • There are 16 chapters addressing the different bypass procedures, pertinent to both low-flow and high-flow revascularisation, with suitable emphasis upon the more common techniques. (acnr.co.uk)
  • Extracranial-intracranial bypass approach to cerebral revascularization: a historical perspective. (thieme-connect.de)
  • Therefore extracranial-intracranial (EC-IC) bypass was developed to reduce the risk of ischemic stroke in patients with impaired cerebral hemodynamics due to occlusive cerebrovascular disease. (scirp.org)
  • Cerebral artery bypass surgery is used to restore blood flow by connecting a blood vessel from outside the brain to a vessel inside the brain - rerouting blood flow around a blocked or damaged artery. (memorial.org)
  • We also specialize in diagnostic cerebral and head and neck angiography and spinal angiography. (hopkinsmedicine.org)
  • The degree of carotid and intracranial stenosis was initially evaluated by CT angiogram (CTA), and conventional cerebral angiography was followed in anticipation of CAS and EC-IC by-pass. (scirp.org)
  • Therefore, we sought to explore the actual causes of death and their relation with progressive coronary atherothrombosis documented by coronary angiography or autopsy in a large Japanese observational database of patients undergoing first coronary revascularization. (crtonline.org)
  • Cerebral vascular insufficiency, typically caused by extracranial or intracranial steno-occlusive disease (any arterial occlusion or severe extracranial or intracranial stenosis in symptomatic arterial territory), is the leading cause of ischemic stroke . (medscape.com)
  • The Solitaire™ X revascularization device, featuring Parametric™ design, a unique overlapping stent retriever-based technology, restores blood flow and retrieves clots from occluded blood vessels in the brain for patients experiencing acute ischemic stroke (AIS) due to a large vessel occlusion (LVO). (medtronic.com)
  • 2. The Solitaire X Revascularization Device is indicated to restore blood flow by removing thrombus from a large intracranial vessel in patients experiencing ischemic stroke within 8 hours of symptom onset. (medtronic.com)
  • Reperfusion injury in acute ischemic stroke: Tackling the irony of revascularization. (nih.gov)
  • Management of acute ischemic stroke due to tandem occlusion: extracranial or intracranial revascularization first? (cns.org)
  • MR CLEAN (Multicenter Randomized Clinical Trial of Endovascular Treatment for Acute Ischemic Stroke in the Netherlands), published online in the New England Journal of Medicine on December 17, showed a clinically significant increase in functional independence in daily life by 3 months in patients with an occluded major cerebral artery who underwent endovascular intervention, most of whom had already received thrombolysis. (medscape.com)
  • Haga S, Nagata S. Usefulness of continuous suture using short-thread double-armed micro-suture for cerebral vascular anastomosis. (surgicalneurologyint.com)
  • whereas undetectable baseline viral load (HR 0.41, 95% CI, 0.18-0.96) was associated with coronary and/or cerebral events. (natap.org)
  • As in previous studies [34-36], we found that undetectable baseline HIV RNA was associated with a reduced risk of coronary and/or cerebral ASCVD events. (natap.org)
  • Traditional CVD risk factors were predictive of coronary and/or cerebral ASCVD events, whereas undetectable baseline HIV RNA was protective. (natap.org)
  • Secondary outcomes were coronary and/or cerebral ASCVD events, and peripheral artery disease (PAD) ASCVD events. (natap.org)
  • This study sought to evaluate what proportion of death after coronary revascularization is related to documented progressive coronary atherothrombosis. (crtonline.org)
  • Documented progressive coronary atherothrombosis as the cause of death was defined as preceding coronary revascularization within 30 days before death or irreversible brain damage and/or proof of coronary thrombus by autopsy. (crtonline.org)
  • Only about one-third of deaths were cardiac in origin during 5-year follow-up in post-discharge patients after coronary revascularization. (crtonline.org)
  • This study demonstrated the causes of death after first coronary revascularization in Japanese cohort data. (crtonline.org)
  • Coronary artery disease (CAD) and cerebral vascular disease (CVD) are the two leading causes of death all over the world. (crtonline.org)
  • Patients who will experience little benefit from coronary revascularization are also excluded. (medscape.com)
  • The biophysical role of hemodynamics in the pathogenesis of cerebral aneurysm formation and rupture. (nih.gov)
  • Endovascular Approach to Cerebral Revascularization: Historical Vignette. (nih.gov)
  • The authors evaluated the endovascular approach for revascularization of these lesions. (cns.org)
  • In these cases, a revascularization procedure can provide an alternative blood flow path. (medscape.com)
  • Impaired cerebrovascular autoregulation has been implicated in the pathogenesis of CHS, which is characterized by unilateral headache, face and eye pain, seizures, and focal neurological deficits secondary to cerebral edema, and intracranial hemorrhage. (nih.gov)
  • OBJECTIVE AND IMPORTANCE: How to manage the distal anterior cerebral artery (ACA) circulation in the treatment of a giant anterior communicating artery aneurysm or a giant azygous A2 aneurysm is still controversial. (elsevierpure.com)
  • They concluded that cerebral revascularization may be done safely at high-volume cerebrovascular centers for high-risk patients for whom optimal medical therapy has failed, and that further research must be done to develop an improved method of risk stratification for patients with symptomatic atherosclerotic cerebrovascular steno-occlusive disease to determine which patients may benefit from intervention. (medscape.com)
  • Cerebral perfusion assessed with SPECT scan improved in 88% of patients. (edu.au)
  • anterior cerebral artery (ACA) - medial frontal branch arising from callosomarginal or pericallosal arteries) and graded as absent (0), partial (1), and complete (2). (bmj.com)
  • mean age, 66 years) with: 1) acute symptomatic ICA occlusion within 6 hours of symptom onset or with mismatch of symptoms and an early infarct area, 2) National Institutes of Health Stroke Scale (NIHSS) score of 6 or more, and 3) attempted endovascular revascularization of the occluded ICA. (ajnr.org)
  • Active revascularization of acute symptomatic ICA occlusion resulted in good recovery in one third of patients after 1 year. (ajnr.org)
  • Optimal management of an ICA occlusion with a concomitant MCA occlusion has not been clearly established, though MCA occlusion can only be a target of revascularization. (ajnr.org)
  • mean age, 66 years) who experienced the following: 1) acute symptomatic ICA occlusion within 6 hours of symptom onset or with mismatch of symptoms and early infarct area, 2) initial National Institutes of Health Stroke Scale (NIHSS) ≥6, and 3) attempted intraarterial revascularization, were enrolled in this study. (ajnr.org)
  • Reperfusion past the target arterial occlusion and into the distal arterial bed and terminal branches, in conjunction with recanalization of the target arterial occlusion, demonstrates flow restoration or revascularization. (jointcommission.org)
  • It will now be used for patients with occlusion of the major cerebral artery who present within in 6 hrs. (medscape.com)
  • He explained that a crucial factor in the study design was the requirement for radiological evidence of occlusion of a major cerebral artery. (medscape.com)
  • Cerebral revascularization is surgery that restores blood flow to the brain, decreasing the chance of stroke or other damage to brain tissue. (medscape.com)
  • Rather, they have been linked to potentially dramatic impairments in functional capacity, quality of life, and cognitive function that may be to varying extents reversible with treatment.1-3 On January 12-13, 2023, the newly formed Society of Neurointerventional Surgery (SNIS) Cerebral Venous and Cerebrospinal Fluid (CSF) Disorders Committee held its inaugural conference in Honolulu, Hawaii, USA. (journaltocs.ac.uk)
  • Cerebral revascularization surgery improves cerebral blood flow, but it remains unclear whether this reduces the risk of stroke. (edu.au)
  • Using a modified Delphi process, we sought to establish expert consensus on key components of the perioperative care of children with moyamoya undergoing indirect revascularization surgery and identify areas of equipoise to define future research priorities. (gwu.edu)
  • RESULTS: Thirty-nine statements regarding perioperative pediatric moyamoya care for indirect revascularization surgery reached consensus. (gwu.edu)
  • and (6) intravenous fluid bolus administration should be considered the first-line intervention for new focal neurologic deficits following indirect revascularization surgery. (gwu.edu)
  • CONCLUSIONS: In the absence of data supporting specific care practices before and after indirect revascularization surgery in children with moyamoya, this Delphi process defined areas of consensus among neurosurgeons, neurologists, and intensivists with moyamoya expertise. (gwu.edu)
  • Given the high risk of recurrent stroke in some patients and the fact that for some patients, medical therapy fails, surgical revascularization may offer the best method of ensuring good long-term outcomes with manageable up-front risks. (medscape.com)
  • But at the same time, several randomized controlled trials have shown no benefit of surgical revascularization compared to the best medical treatments to prevent stroke [ 2 ]. (hindawi.com)
  • BACKGROUND: Surgical revascularization decreases the long-term risk of stroke in children with moyamoya arteriopathy but can be associated with an increased risk of stroke during the perioperative period. (gwu.edu)
  • Overview of Stroke Strokes are a heterogeneous group of disorders involving sudden, focal interruption of cerebral blood flow that causes neurologic deficit. (msdmanuals.com)
  • Carotid revascularization for primary prevention of stroke (CREST-2) is two independent multicenter, randomized controlled trials of carotid revascularization and intensive medical management versus medical management alone in patients with asymptomatic high-grade carotid stenosis. (mayo.edu)
  • Revascularisation of Asymptomatic Carotid Stenosis - Reasonable or Obsolete? (bvsalud.org)
  • Low cerebral blood flow can affect cognition in patients with high-grade asymptomatic internal carotid artery stenosis. (karger.com)
  • The cerebral angiogram is done by injecting dye into the body's arterial tree through the femoral artery (in the groin area) and then viewing that dye on fluroscopy as it reaches the cerebral vessels. (nphm.com)
  • Revascularization is performed to treat several conditions that reduce blood flow to the brain. (medscape.com)
  • Following carotid revascularization, an abrupt increase in cerebral blood flow may disrupt the blood-brain barrier, resulting in reperfusion injury. (biomedcentral.com)
  • In a cerebral angiogram, a health care provider inserts a long, thin tube called a catheter into a blood vessel in your groin. (mayoclinic.org)
  • Cerebrovascular reserve (CVR) reflects the capacity of cerebral blood flow (CBF) to change following a vasodilation challenge. (stanford.edu)
  • Measuring Quantitative Cerebral Blood Flow in Healthy Children: A Systematic Review of Neuroimaging Techniques. (stanford.edu)
  • Cerebral blood flow (CBF) is an important hemodynamic parameter to evaluate brain health. (stanford.edu)
  • The acute phase is associated with a steady increase in ventilation, improved oxygenation, and changes in cerebral blood flow. (cdc.gov)
  • Additional well-designed randomized trials and observational studies are needed to determine if revascularization can arrest or reverse cognitive decline in these patients. (medscape.com)
  • Current clinical algorithms use stroke risk to determine which patients should undergo revascularization without considering cognitive decline. (karger.com)
  • In a systematic review of effects of revascularization on cognitive outcomes in patients with intracranial steno-occlusive disease, review authors examined existing literature on intracranial steno-occlusive disease, including intracranial atherosclerosis and MMD, to determine the extent and quality of evidence for the effect of revascularization on cognitive performance. (medscape.com)
  • and Hersh, David S., "Pediatric Moyamoya Revascularization Perioperative Care: A Modified Delphi Study" (2023). (gwu.edu)
  • Patients underwent bilateral insonation of middle cerebral arteries with standard 2-Hz probes over the temporal windows with transcranial Doppler. (karger.com)
  • CONCLUSION: In cases in which direct clipping to preserve distal ACA flow is quite difficult, the bilateral ACA revascularization described here should be considered as another possibility. (elsevierpure.com)
  • Further studies are needed to confirm the role of revascularization on cognition. (scirp.org)
  • endovascular therapy of pediatric cerebral vascular malformations, eg. (usz.ch)
  • Short- and Long-Term MRI Assessed Hemodynamic Changes in Pediatric Moyamoya Patients After Revascularization. (stanford.edu)
  • Pediatric Moyamoya Revascularization Perioperative Care: A Modified De" by Lisa R. Sun, Lori C. Jordan et al. (gwu.edu)
  • Cerebral angiogram. (mayoclinic.org)
  • The physician at University Hospitals of Cleveland had asked the family to return to Cleveland in August 1996 for a cerebral angiogram to check on the status of her brain revascularization. (nphm.com)
  • This formidable text represents a distillation of neurosurgical anastomotic technique to ameliorate (or prophylactically prevent) cerebral ischaemia, encompassing various types of vascular pathology. (acnr.co.uk)
  • Cerebral vascular pathology comprises the major part of neurology and neurosurgery. (hindawi.com)
  • This report presents a comprehensive review of the literature on CHS after revascularization in MMD patients, focusing on the pathogenesis, clinical features, imaging techniques, treatment, and prognosis of CHS. (nih.gov)