By-pass extra-intracranici con graft di vena safena: Esperienza in 51 casi

Translated title of the contribution: Extracranial-intracranial by-pass through a saphenous vein graft: Experience in 51 cases

A. Santoro, E. Passacantilli, G. P. Cantore

Research output: Contribution to journalArticlepeer-review

Abstract

Extracranial-intracranial by-pass is a valid technique for the treatment of uncoilable and unclippable cerebral aneurysms combined with the treatment of the parent vessel. This technique is utilized in giant and fusiform aneurysms of the internal carotid artery of the prepetrous, petrous, intracavernous and paraclinoid segments. The rationality of this method is to exclude the aneurysm by trapping of the parent vessel and to revascularize the brain through a saphenous vein graft. We report our experience with 51 brain revascularizations performed between 1985 and 2001 at our Institution, 46 of these were done for the treatment of uncoilable and unclippable cerebral aneurysms. In the first period, preoperative balloon occlusion test was performed to assess the type of anastomosis, then we performed the test intraoperatively by EEG. The incidence of graft occlusion was 12.9%. Our experience in this series suggests that the indications for cerebral revascularization should be widened even to include patients with adequate collateral circulation, particularly those who have a long life expentancy.

Translated title of the contributionExtracranial-intracranial by-pass through a saphenous vein graft: Experience in 51 cases
Original languageItalian
Pages (from-to)165-167
Number of pages3
JournalRivista di Neuroradiologia
Volume16
Issue number1
Publication statusPublished - Feb 2003

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology
  • Radiological and Ultrasound Technology

Fingerprint Dive into the research topics of 'Extracranial-intracranial by-pass through a saphenous vein graft: Experience in 51 cases'. Together they form a unique fingerprint.

Cite this