TY - JOUR
T1 - High flow extracranial-to-intracranial brain bypass surgery
AU - Sia, Sheau Fung
AU - Morgan, Michael Kerin
PY - 2013/1
Y1 - 2013/1
N2 - High flow extracranial to intracranial (HF EC-IC) cerebral revascularisation may be necessary in the management of complex skull base tumours and intracranial aneurysms. Vascular reconstruction techniques, in addition to direct clip reconstruction, have been described since the first successful bypass more than 50 years ago. Bypass grafting can be considered high flow when a radial artery or the saphenous vein is interposed between the extracranial carotids arteries and intracranial vessels. The decision as to whether to use a low flow or high flow bypass is determined by the anticipated cerebral blood flow needed and the availability of a supply source. In this review, we consider the indications, diagnostic evaluation strategies and long-term graft patency of HF EC-IC bypass surgery.
AB - High flow extracranial to intracranial (HF EC-IC) cerebral revascularisation may be necessary in the management of complex skull base tumours and intracranial aneurysms. Vascular reconstruction techniques, in addition to direct clip reconstruction, have been described since the first successful bypass more than 50 years ago. Bypass grafting can be considered high flow when a radial artery or the saphenous vein is interposed between the extracranial carotids arteries and intracranial vessels. The decision as to whether to use a low flow or high flow bypass is determined by the anticipated cerebral blood flow needed and the availability of a supply source. In this review, we consider the indications, diagnostic evaluation strategies and long-term graft patency of HF EC-IC bypass surgery.
UR - http://www.scopus.com/inward/record.url?scp=84871410879&partnerID=8YFLogxK
U2 - 10.1016/j.jocn.2012.05.007
DO - 10.1016/j.jocn.2012.05.007
M3 - Review article
C2 - 23084349
AN - SCOPUS:84871410879
VL - 20
SP - 1
EP - 5
JO - Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia
JF - Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia
SN - 0967-5868
IS - 1
ER -