Is extracranial-intracranial bypass surgery effective in certain patients?
The role of surgical revascularization for patients who have ischemic disease remains controversial. Despite the previous EC-IC bypass trial that failed to demonstrate the benefit from STA-MCA bypass compared with medical therapy, however, there is mounting evidence that the procedure should be considered in selected patients. Bypass remains a mainstay of treatment in moyamoya disease and in flow replacement in the setting of planned vessel sacrifice.
Amin-Hanjani
Sepideh
S
Department of Neurosurgery, University of Illinois at Chicago, Neuropsychiatric Institute (MC 799), 912 South Wood Street, Chicago, IL 60612, USA. hanjani@uic.edu
Charbel
Fady T
FT
D001921:Brain / Q000098:blood supply; D001927:Brain Diseases / Q000601:surgery*; D002533:Cerebral Angiography; D002548:Cerebral Revascularization / Q000379:methods; D002986:Clinical Trials as Topic; D006801:Humans; D019635:Neurosurgical Procedures / Q000379:methods; D014656:Vascular Surgical Procedures / Q000379:methods