We report on a symptomatic case in which the whole intracranial blood supply was provided by a single vertebral artery as both internal carotid arteries were occluded and the contralateral vertebral artery was severely hypoplasic. The patient was treated by a flow-augmentation extracranial-intracranial bypass. Preoperative perfusion studies were essential in tailoring surgical strategy. Keypoints of the paper are contralateral perfusion changes after unilateral bypass surgery. The patient experienced a total recovery from symptoms and a bilateral improvement in brain perfusion, probably as consequence of post-operative hemodynamic rearrangement.

Esposito, G., Della Pepa, G. M., Sabatino, G., Gaudino, S., Puca, A., Maira, G., Marchese, E., Albanese, A., Bilateral flow changes after extracranial-intracranial bypass surgery in a complex setting of multiple brain-feeding arteries occlusion: The role of perfusion studies, <<BRITISH JOURNAL OF NEUROSURGERY>>, 2015; 29 (5): 723-725. [doi:10.3109/02688697.2015.1023779] [http://hdl.handle.net/10807/149157]

Bilateral flow changes after extracranial-intracranial bypass surgery in a complex setting of multiple brain-feeding arteries occlusion: The role of perfusion studies

G.; Della Pepa
Primo
;
G. M.; Sabatino;G.; Gaudino;S.; Puca;G.; Marchese;E.; Albanese
Ultimo
2015

Abstract

We report on a symptomatic case in which the whole intracranial blood supply was provided by a single vertebral artery as both internal carotid arteries were occluded and the contralateral vertebral artery was severely hypoplasic. The patient was treated by a flow-augmentation extracranial-intracranial bypass. Preoperative perfusion studies were essential in tailoring surgical strategy. Keypoints of the paper are contralateral perfusion changes after unilateral bypass surgery. The patient experienced a total recovery from symptoms and a bilateral improvement in brain perfusion, probably as consequence of post-operative hemodynamic rearrangement.
Inglese
Esposito, G., Della Pepa, G. M., Sabatino, G., Gaudino, S., Puca, A., Maira, G., Marchese, E., Albanese, A., Bilateral flow changes after extracranial-intracranial bypass surgery in a complex setting of multiple brain-feeding arteries occlusion: The role of perfusion studies, <<BRITISH JOURNAL OF NEUROSURGERY>>, 2015; 29 (5): 723-725. [doi:10.3109/02688697.2015.1023779] [http://hdl.handle.net/10807/149157]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10807/149157
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