Surgical treatment strategies in ischemic stroke.
Although the most dramatic recent advances in the treatment of stroke have been medical in nature, there still remains a role for surgery in selected patients with cerebrovascular ischemic disorders. Direct revascularization procedures, including carotid endarterectomy and extracranial-intracranial bypass, remain important tools for the vascular neurosurgeon. Lastly, decompressive hemicraniectomy is being increasingly performed in patients with massive nondominant infarcts, as a means of salvaging individuals who otherwise would succumb to herniation. This article addresses the current indications, techniques, and results of the aforementioned techniques for the surgical treatment of ischemic stroke.
Rabb
C H
CH
Colorado Neurological Institute, Swedish Medical Center, Englewood, Colorado, USA. craig_rabb@hotmail.com
D002545:Brain Ischemia / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D002544:Cerebral Infarction / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D002548:Cerebral Revascularization; D019299:Decompression, Surgical; D003952:Diagnostic Imaging; D016894:Endarterectomy, Carotid; D006801:Humans; D020521:Stroke / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*