Extracranial-intracranial (EC-IC) arterial bypass: past performance and current concepts
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Neurosurgery
|July 1, 1978
Insights
Intracranial-extracranial arterial bypass grafting is technically feasible with low risks for experienced surgeons. However, its proven therapeutic benefits remain uncertain, requiring further investigation.
Area of Science:
- Neurosurgery
- Vascular Surgery
- Cerebrovascular Medicine
Background:
- Intracranial-extracranial arterial bypass grafting is a complex surgical procedure.
- The review synthesizes existing literature on the technique.
Purpose of the Study:
- To review published experiences with intracranial-extracranial arterial bypass grafting.
- To assess the technical feasibility, safety, and therapeutic value of the procedure.
Main Methods:
- Systematic review of published studies on intracranial-extracranial arterial bypass grafting.
- Analysis of reported outcomes, including morbidity and mortality rates.
Main Results:
- The procedure is technically feasible.
- Performed by experienced microvascular surgeons, it demonstrates low morbidity and mortality.
- The therapeutic efficacy of the procedure is not yet established.
Conclusions:
- Intracranial-extracranial arterial bypass grafting is a viable surgical option.
- While safe in experienced hands, its clinical benefit requires further validation through robust studies.
Abstract:
The authors present a review of published experience with intracranial-extracranial arterial bypass grafting. The procedure is technically feasible and has a relatively low morbidity and mortality when performed by experienced microvascular surgeons. However, its therapeutic value is still unproven.