Emergency intracranial thromboendarterectomy for acute middle cerebral artery embolus.
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.
Opalak
M E
ME
Department of Neurological Surgery, University of California, Davis, Sacramento 95817.
Chehrazi
B B
BB
Boggan
J E
JE
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