[The actual situation in surgical management of occlusive cerebrovascular disease]
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Updated: Aug 12, 2026

Permanent Cerebral Vessel Occlusion via Double Ligature and Transection
Published on: July 21, 2013
K Yanaka1, T Kamezaki, E Kobayashi
1Department of Neurosurgery, Tsukuba Memorial Hospital, Japan.
Abstract:
We studied 828 cases with occlusive cerebrovascular disease who were admitted to our hospital over these 5 years in relation to surgical management. Cerebral angiography including digital subtraction angiography was carried out in 770 cases. Surgical management was carried out in 110 cases; 77 cases of carotid endarterectomy (CEA), 18 cases of EC-IC bypass and 15 cases of external decompression. The ratio of surgical management was 13. 3% of all cases admitted. The mortality and the morbidity were 5.4% and 1.8% respectively. The number of EC-IC bypass has decreased gradually after the reports of international cooperative study concerning with EC-IC bypass in 1985. But the number of CEA has increased gradually.
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