[EDAS (encephalo-duro-arterio-synangiosis) for occlusive/stenotic cerebrovascular disease].
The efficacy of encephalo-duro-arterio-synangiosis (EDAS) using superficial temporal artery was evaluated for the treatment of the occlusive/stenotic cerebrovascular disease. Nine patients with the occlusive/stenotic cerebrovascular disease underwent EDAS in our hospital. The mean follow-up period was 6.6 months. Postoperative angiography showed no collateral formation via EDAS in any of the nine patients. We analyzed the following points: 1) operative procedure, 2) follow up period after surgery, 3) preoperative cerebral blood flow, and 4) age of the patients. Results showed that EDAS as a treatment of occlusive/stenotic cerebrovascular disease was not effective. This study failed to reinforce the suggestion that indirect extracranial/intracranial bypass surgery is effective as the treatment of occlusive/stenotic cerebrovascular disease.
Department of Neurosurgery, Mejiro Hospital, 3-22-23 Shimoochiai, Shinjuku-ku, Tokyo 161-0033, Japan.
M
M
Maekawa
S
S
Awaya
S
S
Fukuda
A
A
Teramoto
D000328:Adult; D000368:Aged; D002548:Cerebral Revascularization / Q000379:methods*; D002560:Cerebrovascular Circulation; D002561:Cerebrovascular Disorders / Q000503:physiopathology / Q000601:surgery*; D003097:Collateral Circulation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017211:Treatment Failure