STA-MCA Anastomosis and Thromboendarterectomy for Occlusive Cerebrovascular Accident
閉塞性脳血管障害に対する外科的処置の検討

Hiroshi Ishimitsu, Susumu Nakasone, Shimpei Nanba, Katsumi Kutomi
1979 Nosotchu no Geka Kenkyukai koenshu  
Operative results for thirty cases of intracranial or extracranial occlusive diseases were analyzed and discussed. Of thirty cases of operations, twenty five external-internal arterial bypass (EIAB) operation for 17 patients having occlusive lesions in extracranial internal carotid arteries, and for 8 patients with middle cerebral arterial obstructions. Thromboendarterectomy with thromboectomy using Fogarty catheter (TE) was carried out on 5 patients with extracranial complete occlusions of
more » ... rnal carotid arteries. Post operative follow-up period was between 27 days and 3 months. EIAB operations were carried out on eleven completed stroke (CS) patients, of which two showed "good" post-operative results, the other two patients "fair", remaining 7 patients showing no post-operative improvement at all. On the other hand, five progressive stroke (PS) patients were operated by (EIAB) and one patient had "good" operative result, 2 patients "fair", and remaining 2 patients showing no operative effects at all. None of nine patients of TIA and RIND operated by EIAB showed any post-operative reattack at all. Four CS and one PS patients were operated by TE, of which two showed some improvement of the disorder ("good"), one slight improvement ("fair"), and one no improvement all. In remaining one PS patient in which TE was performed, it was not proved to be able to remove the thrombus for its far into intracranially contiguous firm intraarterial thrombus.
doi:10.14878/scs1973.8.0_245 fatcat:zsvzrnbftbbabpeiowcihv5wzm