Cerebral revascularization which was once commonly used technique became outdated and emerged in a new avatar. Fisher was the first person who promoted that most strokes were not due to vasospasm but due to CA disease. Improvement of various microsurgical methods and techniques are resulting in excellent outcomes. With the advent of modern techniques, cerebral revascularization has taken a back seat. However many diseases like moyamoya disease, complex intracranial aneurysms and skull based tumours, traditional cerebral revascularization methods play a very important role. Although an important method to treat strokes but is also associated with dreaded complication of intracranial haemorrhage. Cerebral collateral circulation channels are restored by cerebral revascularization. Although very commonly used treatment but underwent various modifications, implementations, expanding the horizons of diseases involved. All these innovations in the use of endovascular technique resulted in the decline of cerebral revascularization surgeries. New endovascular surgical approaches lead to shorter recovery times and the patients whose conditions are not indicated for the traditional cerebrovascular approaches can also be managed. One of the major and important drawback of Cerebral Revascularization is the intraoperative thrombosis which can result in severe motor and sensory disturbances. This article aims to weigh the pros and cons of cerebral revascularization.
| Published in | International Journal of Neurosurgery (Volume 8, Issue 1) |
| DOI | 10.11648/j.ijn.20240801.12 |
| Page(s) | 11-15 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Cerebral Revascularization, Stroke, Ischemia
| [1] | Ding Q, Liu S, Yao Y, Liu H, Cai T, Han L. Global, regional, and national burden of ischemic stroke, 1990-2019. Neurology 98, E279-E290. |
| [2] | Kawashima M, Rhoton AL, Tanriover N, Ulm AJ, Yasuda A, Fuji K. Microsurgical anatomy of cerebral revascularization. Part II: Posterior circulation. February 2005Journal of Neurosurgery 102(1): 132-47. |
| [3] | Hodje C J, Gross CE, Cerebral revascularization. Acta Neurochir 44. 115-130(1978). |
| [4] | HaydenMG, Lee M, Guzman R, Steinberg GK. The evolution of cerebral revascularization surgery. Neurosurg Focus. 2009; 26(5): E17. |
| [5] | Carrel A: Nobel price in physiology or medicine 1912. Amsterdam: Elsevier Publishing company, 1967. |
| [6] | German WJ, Taffel W: Surgical production of collateral intracranial circulation: An experimental study. Proc Soc Exp Biol. Medf 42: 349-353, 1939. |
| [7] | Kradel FE: Collateral cerebral circulation by muscle graft: technique of operationwith report of 3 cases. South Surgeon 10: 235-244, 1942. |
| [8] | Jacobson JH II, Wallman LJ, Schumacher GA, Flanagan M, Suarez EL, DonaghyRM: Microsurgery as a aid to middle cerebral artery endarterectomy. J Neurosurg 19: 108-115, 1962. |
| [9] | Jacobson JH II, SuarezEL: Microsurgery in anastomosis of small vessels. Surg Forum 11: 243-245, 1960. |
| [10] | Kurze T: Microtechniques in neurological surgery. Clin Neurosurg 11: 128-137, 1964. |
| [11] | Robert M. Starke, Mark Chwajol, Daniel Lefton, Chandranath Sen, E. Sander Connolly, Alejandro Berenstein, David J. Langer. Revascularization of brainstem and cerebellum. Researchgate. |
| [12] | Mathew J. Gallagher, Joseph Frantzias, Ahilan Kailaya-Vasan, Thomas C. Booth, Christos M. Tolias. |
| [13] | Karasawa J, Kikuchi H, Furuse S, Kawamura J, Sakaki T: Treatment of moyamoya disease with STA-MCA anastomosis. J Neurosurg 49: 679–688, 1978. |
| [14] | Ausman JI, Diaz FG, Vacca DF, Sadasivan B: Superficial temsporal and occipital artery bypass pedicles to superior, anterior inferior, and posterior inferior cerebellar arteries for vertebrobasilar insufficiency. J Neurosurg 72: 554–558, 1990. |
| [15] | Sundt TM Jr, Whisnant JP, Piepgras DG, Campbell JK, Holman CB: Intracranial bypass grafts for vertebral-basilar ischemia. Mayo Clin Proc 53: 12–18, 1978. |
| [16] | Lawton MT, Spetzler RF. Internal carotid artery sacrifice for radical resection of skull base tumors. Skull Base Surg. 1996; 6: 119–23 |
| [17] | Ramanathan D, Temkin N, Kim LJ, Ghodke B, Sekhar LN. Cerebral bypasses for complex aneurysms and tumors: long-termresults and graft management strategies. Neurosurgery. 2012; 70: 1442–57. |
| [18] | Sekhar LN, Natarajan SK, Ellenbogen RG, Ghodke B. Cerebralrevascularization for ischemia, aneurysms, and cranial base tumors. Neurosurgery. 2008; 62(Suppl 3): 1373–410. |
| [19] | Abla AA, Gandhoke G, Clark JC, Oppenlander ME, Velat GJ, Zabramski JM, et al. Surgical outcomes for moyamoya angiopathy at barrow neurological institute with comparison of adult indirect encephaloduroarteriosynangiosis bypass, adult direct superficial temporal artery-to-middle cerebral artery bypass, and pediatric bypass: 154 revascularization surgeries in 140 affected hemispheres. Neurosurgery. 2013; 73: 430–9. |
| [20] | Starke RM, Komotar RJ, Connolly ES. Optimal surgical treatment or moyamoya disease in adults: direct versus indirect bypass. Neurosurg Focus. 2009; 26: E8. FOCUS08309. |
| [21] | Extracranial to intracranial bypass and the prevention of stroke. Lancet 2: 1401–1402, 1985. |
| [22] | Molyneux A, Kerr R, Stratton I, et al. International subarachnoid aneurysm trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial. |
| [23] | aneurysms: a randomised trial. Lancet. 2002; 360(9342): 1267–74. |
| [24] | Spetzler RF, Roski RA, Kopaniky DR. Alternative superficial temporal artery to middle cerebral artery revascularization procedure. Neurosurgery. 1980; 7(5): 484–7. |
| [25] | Narata AP, Yilmaz H, Schaller K, Lovblad KO, Pereira VM. Flowdiverting stent for ruptured intracranial dissecting aneurysm of vertebral artery. Neurosurgery. 2012; 70(4): 982–8. 1227/NEU.0b013e318236715e. |
| [26] | Zaed S, Tinterri B, Giordano M. Use of Cerebral Revascularization Techniques in the Endovascular Era. Is it Still a Useful Technique? SN Comprehensive Clinical Medicine. |
APA Style
Singh, A. (2024). Cerebral Revascularization: Boom or Doom for Neurosurgeons. International Journal of Neurosurgery, 8(1), 11-15. https://doi.org/10.11648/j.ijn.20240801.12
ACS Style
Singh, A. Cerebral Revascularization: Boom or Doom for Neurosurgeons. Int. J. Neurosurg. 2024, 8(1), 11-15. doi: 10.11648/j.ijn.20240801.12
AMA Style
Singh A. Cerebral Revascularization: Boom or Doom for Neurosurgeons. Int J Neurosurg. 2024;8(1):11-15. doi: 10.11648/j.ijn.20240801.12
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.ijn.20240801.12,
author = {Avatar Singh},
title = {Cerebral Revascularization: Boom or Doom for Neurosurgeons
},
journal = {International Journal of Neurosurgery},
volume = {8},
number = {1},
pages = {11-15},
doi = {10.11648/j.ijn.20240801.12},
url = {https://doi.org/10.11648/j.ijn.20240801.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20240801.12},
abstract = {Cerebral revascularization which was once commonly used technique became outdated and emerged in a new avatar. Fisher was the first person who promoted that most strokes were not due to vasospasm but due to CA disease. Improvement of various microsurgical methods and techniques are resulting in excellent outcomes. With the advent of modern techniques, cerebral revascularization has taken a back seat. However many diseases like moyamoya disease, complex intracranial aneurysms and skull based tumours, traditional cerebral revascularization methods play a very important role. Although an important method to treat strokes but is also associated with dreaded complication of intracranial haemorrhage. Cerebral collateral circulation channels are restored by cerebral revascularization. Although very commonly used treatment but underwent various modifications, implementations, expanding the horizons of diseases involved. All these innovations in the use of endovascular technique resulted in the decline of cerebral revascularization surgeries. New endovascular surgical approaches lead to shorter recovery times and the patients whose conditions are not indicated for the traditional cerebrovascular approaches can also be managed. One of the major and important drawback of Cerebral Revascularization is the intraoperative thrombosis which can result in severe motor and sensory disturbances. This article aims to weigh the pros and cons of cerebral revascularization.
},
year = {2024}
}
TY - JOUR T1 - Cerebral Revascularization: Boom or Doom for Neurosurgeons AU - Avatar Singh Y1 - 2024/05/17 PY - 2024 N1 - https://doi.org/10.11648/j.ijn.20240801.12 DO - 10.11648/j.ijn.20240801.12 T2 - International Journal of Neurosurgery JF - International Journal of Neurosurgery JO - International Journal of Neurosurgery SP - 11 EP - 15 PB - Science Publishing Group SN - 2640-1959 UR - https://doi.org/10.11648/j.ijn.20240801.12 AB - Cerebral revascularization which was once commonly used technique became outdated and emerged in a new avatar. Fisher was the first person who promoted that most strokes were not due to vasospasm but due to CA disease. Improvement of various microsurgical methods and techniques are resulting in excellent outcomes. With the advent of modern techniques, cerebral revascularization has taken a back seat. However many diseases like moyamoya disease, complex intracranial aneurysms and skull based tumours, traditional cerebral revascularization methods play a very important role. Although an important method to treat strokes but is also associated with dreaded complication of intracranial haemorrhage. Cerebral collateral circulation channels are restored by cerebral revascularization. Although very commonly used treatment but underwent various modifications, implementations, expanding the horizons of diseases involved. All these innovations in the use of endovascular technique resulted in the decline of cerebral revascularization surgeries. New endovascular surgical approaches lead to shorter recovery times and the patients whose conditions are not indicated for the traditional cerebrovascular approaches can also be managed. One of the major and important drawback of Cerebral Revascularization is the intraoperative thrombosis which can result in severe motor and sensory disturbances. This article aims to weigh the pros and cons of cerebral revascularization. VL - 8 IS - 1 ER -
Department of Neurosurgery, K. D Medical College, Mathura, India
Information