Microsurgery for Cerebral Ischemia

Front Matter....Pages i-xvii
Front Matter....Pages 1-1
Role of Erythrocyte Carbonic Anhydrase in Oxygen Delivery to Brain....Pages 3-5
Recent Developments in the Measurement of Cerebral Hemodynamics and Metabolism....Pages 6-11
Front Matter....Pages 13-13
Serum and CSF Brain-Specific Isoenzyme Profiles in Experimental Cerebral Ischemia and Infarction....Pages 15-17
Free Radicals and Oxygen During Reperfusion....Pages 18-22
A New Model for Chronic Reversible Cerebral Ischemia....Pages 23-27
Brain Energetics in Patients Undergoing STA-MCA Anastomosis....Pages 28-32
Front Matter....Pages 33-33
Changes in Cerebral Autoregulation in Patients Undergoing Microanastomosis....Pages 35-39
Regional Cortical Blood Flow During Cerebrovascular Surgery....Pages 40-45
The Use of STA-MCA Bypass in the Evaluation of rCBF....Pages 46-55
rCBF Measurement in Patients with STA-MCA Shunts....Pages 56-58
Cerebral Blood Flow in Superficial Temporal Artery to Middle Cerebral Artery Anastomosis....Pages 59-66
Experimental Cerebral Revascularization Studied by 85 Kr Clearance and Fluorescein Angiography After 24 Hours of Permanent Occlusion of the Middle Cerebral Artery in Dogs....Pages 67-73
Regional Cerebral Perfusion Assessed with 81m Kr and Emission Computerized Tomography....Pages 74-79
The Value of Noninvasive Regional CBF Measurements in Diagnostic and Follow-up Studies in Cerebral Vascular Diseases with Special Regard to EIAB....Pages 80-86
Front Matter....Pages 87-87
Noninvasive Management of Stroke Patients by Doppler Sonography and Dynamic Radionuclide Brain Scanning....Pages 89-94
Noninvasive Evaluation of Superficial Temporal to Middle Cerebral Artery Anastomosis....Pages 95-98
Intraoperative Hemodynamic Study by Doppler Ultrasonic Flowmeter in the Extracranial-Intracranial Arterial Bypass....Pages 99-105
Ocular Pneumoplethysmography in Carotid Occlusive Disease....Pages 106-109
Changes in Collateral Circulation and EEG Analysis Following Extra-Intracranial Anastomosis....Pages 110-116
The Emergency STA-MCA Bypass Evaluated by the Induced-Functional EEG Analysis in Acute Ischemic Stroke....Pages 117-122
Front Matter....Pages 123-123
Correlation of Noninvasive Doppler and Angiographic Evaluation of Extra-Intracranial Anastomoses....Pages 125-127
STA-MCA Anastomosis: Detailed Analysis of Pre- and Postoperative Angiography....Pages 128-132
Angiography of the External Carotid-Internal Carotid Anastomosis (EC-IC)....Pages 133-137
Cortical Artery Pressure: Preoperative and Postoperative Arteriographic Findings in Patients with Internal Carotid Artery Occlusion....Pages 138-141
Angiographic Findings and Cross-Sectional Brain Perfusion Studies after Extra-Intracranial Arterial Bypass....Pages 142-147
Morphologic and Functional Correlates in Transient Cerebral Ischemia....Pages 148-154
Front Matter....Pages 155-155
In-Situ Dissections of Brain with Emphasis on the Blood Supply at the Base of the Brain....Pages 157-165
Successful Adhesive Repair of Middle Cerebral Arteriotomy in Primates....Pages 166-172
A New Technique for the End-to-Side Anastomosis Between Small Arteries....Pages 173-177
Safe Microclip Occlusive Force for Temporary Vascular Occlusion....Pages 178-185
The Influence of Adventitial Tissue to Healing Processes Following Microsurgical Interventions on Small Vessels....Pages 186-189
Ultrastructural Control of Small Vessels Following Microsurgical Intervention by Tissue Adhesion with Fibrin....Pages 190-197
Comparative Evaluation of Microvascular Arterial Graft: Arterial Autograft versus Human Umbilical Artery Graft....Pages 198-204
Patency, Blood Flow, and Histologic Response in 2- to 3-mm Arterial Autografts....Pages 205-214
Arterial Dilatation and Augmentation of Blood Flow in Experimental Arteriovenous Fistulas....Pages 215-226
The Effect of Heparin on the Patency Rate of Autogenous Vein Grafts Inserted into the Arterial System of Rats....Pages 227-236
The Quantitative Assessment of the Effect of Antiplatelet Drugs on Thrombosis in Microvascular Anastomoses....Pages 237-239
Relationship of Internal Carotid Artery Stump Pressure to STA-MCA Bypass Function....Pages 240-250
Measurement of Intracranial Arterial Pressure in Patients Undergoing Extracranial to Intracranial Microsurgical Anastomosis for Cerebrovascular Ischemia....Pages 251-256
Front Matter....Pages 257-257
High Cervical Carotidopathies....Pages 259-267
Front Matter....Pages 257-257
Extra-Intracranial Arterial Bypass Surgery for Cerebral Ischemia in Patients with Normal Cerebral Angiograms....Pages 268-274
Revascularization in the Acute Stage of the MCA Occlusion....Pages 275-282
Cerebral Microvascular Surgery in Completed Stroke....Pages 283-285
Extra-Intracranial Anastomosis Operation Associated with Hyperbaric Oxygenation in the Treatment of Completed Stroke....Pages 286-291
Extra-Intracranial Arterial Bypass Surgery in Patients with Bilateral Internal Carotid Artery Occlusions....Pages 292-296
The Surgical Management of Bilateral Carotid Artery Occlusive Disease....Pages 297-304
Indications for Surgery in Patients with Several Cerebrovascular Lesions....Pages 305-316
Further Experience with Occipital Artery-Caudal Loop-PICA Anastomosis for Vertebrobasilar Insufficiency....Pages 317-324
New Approaches in Cerebral Revascularization....Pages 325-327
Failure of EC-IC Bypass to Alter Ischemia....Pages 328-332
Hemorrhagic Infarction after Microsurgical Cerebral Revascularization....Pages 333-340
Extracranial-Intracranial Anastomosis in Cerebrovascular Disease....Pages 341-343
Results in 51 Patients with EC-IC Bypass: Technical and Clinical Considerations....Pages 344-349
Microneurosurgical Arterial Bypass for Cerebral Ischemia: The San Francisco Experience....Pages 350-356
STA-MCA Anastomosis: Further Analysis of Long-Term Results—A Neurologist’s View....Pages 357-361
Back Matter....Pages 363-372