title: Anesthetic management of patients undergoing intracranial bypass procedures.
abstract: Cerebral revascularization is used to augment or replace cerebral blood flow in patients at risk of developing cerebral ischemia. These include patients with moyamoya disease, occlusive cerebrovascular disease, skull base tumors, and complex aneurysms. Our aim in this review is to provide a comprehensive update of both surgical and anesthetic aspects of cerebral revascularization procedures. The anesthetic concerns for most patients presenting for different types of bypass procedures are similar and include the maintenance of adequate cerebral perfusion to prevent cerebral ischemia. Patients with complex aneurysms and tumors have additional considerations related to the surgical treatment of the underlying pathology.
authors.affiliation: From the Department of Anesthesia and Perioperative Medicine, London Health Science Centre, University of Western Ontario, Toronto, Ontario, Canada; Department of Anesthesia, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, Ontario, Canada; and Division of Neurosurgery, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, Ontario, Canada.
authors.forename: Jason
authors.initials: J
authors.lastname: Chui
authors.forename: Pirjo
authors.initials: P
authors.lastname: Manninen
authors.forename: Raphael H
authors.initials: RH
authors.lastname: Sacho
authors.forename: Lashmi
authors.initials: L
authors.lastname: Venkatraghavan
mesh_terms: D000758:Anesthesia; D002548:Cerebral Revascularization / Q000009:adverse effects / Q000379:methods*; D002560:Cerebrovascular Circulation / Q000502:physiology; D002561:Cerebrovascular Disorders / Q000601:surgery; D006801:Humans; D011183:Postoperative Complications / Q000628:therapy