title: Emergency intracranial thromboendarterectomy for acute middle cerebral artery embolus.
abstract: Clinical application of microvascular techniques in emergency intracranial thromboembolectomy of middle cerebral artery bifurcation subsequent to angiography is presented. Blood flow was re-established with 5-7 hours of the onset of the focal cerebral ischemic symptoms. Review of the literature supports a role for acute intracranial embolectomy in a selected group of patients in the absence of more effective medical therapy.
authors.affiliation: Department of Neurological Surgery, University of California, Davis, Sacramento 95817.
authors.forename: M E
authors.initials: ME
authors.lastname: Opalak
authors.forename: B B
authors.initials: BB
authors.lastname: Chehrazi
authors.forename: J E
authors.initials: JE
authors.lastname: Boggan
mesh_terms: D000208:Acute Disease; D000328:Adult; D000368:Aged; D002533:Cerebral Angiography / Q000009:adverse effects; D002536:Cerebral Arteries / Q000601:surgery*; D004630:Emergencies; D004691:Endarterectomy / Q000379:methods; D005260:Female; D006801:Humans; D002542:Intracranial Embolism and Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D008297:Male; D008866:Microsurgery / Q000379:methods; D008875:Middle Aged