Related Experiment Videos
Indications for endarterectomy and STA-MCA shunts in the brain atherosclerosis
Insights
This study reviewed 169 brain artery operations for atherosclerosis, finding no patient deaths. Surgical interventions like extra-intracranial shunts and endarterectomies showed low complication rates.
Area of Science:
- Neurosurgery
- Vascular Surgery
- Neurology
Background:
- Cerebral artery occlusion and stenosis, primarily due to atherosclerosis, pose significant risks.
- Effective surgical management is crucial for preventing neurological deficits.
Purpose of the Study:
- To review surgical outcomes for patients with brain artery atherosclerosis.
- To evaluate the safety and efficacy of extra-intracranial shunts and endarterectomies.
Main Methods:
- Review of 169 surgical operations for brain artery occlusion/stenosis.
- Pre-operative diagnostics included panangiography, scintigraphy, sonography, ophthalmodynamometry, and CT.
- Surgical procedures included extra-intracranial shunts (STA MCA) and endarterectomies.
Main Results:
- 151 patients had atherosclerosis as the underlying cause.
- No patient deaths occurred across all 169 operations.
- Only two post-surgical complications were reported: one after STA MCA and one after endarterectomy.
Conclusions:
- Extra-intracranial shunts and endarterectomies are safe and effective for treating atherosclerotic cerebrovascular disease.
- Careful patient selection based on arterial changes is key to successful surgical outcomes.
- Low morbidity and mortality rates support these surgical interventions for selected patients.
Abstract:
Altogether 169 operations of patients with occlusion or stenosis of the brain arteries and brain magistral arteries are reviewed. In 151 patients the cause of disease was atherosclerosis. No one of the patients has died. According to the thorough investigation consisting of panangiography, dynamic scintigraphy, sonography, ophthalmodynamometry, CT and other clinical investigations, either extra-intra-cranial shunts (STA MCA), or endarterectomies were carried out. The indications for these operations were elaborated with regards to the cause of tandem changes in arteries or to bilateral atherosclerotic changes of the brain arteries. Out of the total 169 operations, 30 endarterectomies were performed. Only two post-surgical complications have appeared, one of them post STA MCA operation and the other after endarterectomy.