Cerebral circulatory and metabolic changes following EC/IC bypass surgery in cerebral occlusive diseases. 1993

K Muraishi, and M Kameyama, and K Sato, and R Sirane, and A Ogawa, and T Yoshimoto, and J Hatazawa, and M Itoh
Division of Neurosurgery, Tohoku University School of Medicine, Sendai, Japan.

In order to evaluate the effect of extracranial-intracranial (EC/IC) bypass surgery for the patients with ischaemic cerebrovascular disease, fourteen patients were studied for cerebral blood flow (CBF), oxygen extraction fraction (OEF) and cerebral metabolic rate of oxygen (CMRO2) before and after EC/IC bypass using positron emission tomography (PET) and 15O steady state technique. Six patients with carotid lesion received superficial temporal artery (STA)-middle cerebral artery anastomosis, and eight patients with vertebro-basilar lesion underwent STA-superior cerebellar artery anastomosis. In both groups of patients with carotid and vertebro-basilar lesion, significant increase of CBF and decrease of OEF were observed following surgical revascularization. Especially in patients with vertebro-basilar lesion, remarkable improvements were observed not only in the cerebellum but also in the cerebral cortex. In addition, the cases with preoperative higher OEF showed marked increase of CBF and decrease of OEF. It was suggested that EC/IC bypass can be effective when pre-operative uncoupling between cerebral circulation and metabolism are marked and PET study provides useful information for selecting the appropriate candidates for EC/IC bypass surgery.

UI MeSH Term Description Entries
D008297 Male Males
D011300 Preoperative Care Care given during the period prior to undergoing surgery when psychological and physical preparations are made according to the special needs of the individual patient. This period spans the time between admission to the hospital to the time the surgery begins. (From Dictionary of Health Services Management, 2d ed) Care, Preoperative,Preoperative Procedure,Preoperative Procedures,Procedure, Preoperative,Procedures, Preoperative
D001921 Brain The part of CENTRAL NERVOUS SYSTEM that is contained within the skull (CRANIUM). Arising from the NEURAL TUBE, the embryonic brain is comprised of three major parts including PROSENCEPHALON (the forebrain); MESENCEPHALON (the midbrain); and RHOMBENCEPHALON (the hindbrain). The developed brain consists of CEREBRUM; CEREBELLUM; and other structures in the BRAIN STEM. Encephalon
D002340 Carotid Artery Diseases Pathological conditions involving the CAROTID ARTERIES, including the common, internal, and external carotid arteries. ATHEROSCLEROSIS and TRAUMA are relatively frequent causes of carotid artery pathology. Carotid Atherosclerosis,Common Carotid Artery Disease,Internal Carotid Artery Disease,Arterial Diseases, Carotid,Arterial Diseases, Common Carotid,Arterial Diseases, External Carotid,Arterial Diseases, Internal Carotid,Atherosclerotic Disease, Carotid,Carotid Artery Disorders,Carotid Atherosclerotic Disease,Common Carotid Artery Diseases,External Carotid Artery Diseases,Internal Carotid Artery Diseases,Arterial Disease, Carotid,Artery Disease, Carotid,Artery Diseases, Carotid,Artery Disorder, Carotid,Artery Disorders, Carotid,Atherosclerotic Diseases, Carotid,Carotid Arterial Disease,Carotid Arterial Diseases,Carotid Artery Disease,Carotid Artery Disorder,Carotid Atheroscleroses,Carotid Atherosclerotic Diseases,Disorders, Carotid Artery
D002545 Brain Ischemia Localized reduction of blood flow to brain tissue due to arterial obstruction or systemic hypoperfusion. This frequently occurs in conjunction with brain hypoxia (HYPOXIA, BRAIN). Prolonged ischemia is associated with BRAIN INFARCTION. Cerebral Ischemia,Ischemic Encephalopathy,Encephalopathy, Ischemic,Ischemia, Cerebral,Brain Ischemias,Cerebral Ischemias,Ischemia, Brain,Ischemias, Cerebral,Ischemic Encephalopathies
D002548 Cerebral Revascularization Microsurgical revascularization to improve intracranial circulation. It usually involves joining the extracranial circulation to the intracranial circulation but may include extracranial revascularization (e.g., subclavian-vertebral artery bypass, subclavian-external carotid artery bypass). It is performed by joining two arteries (direct anastomosis or use of graft) or by free autologous transplantation of highly vascularized tissue to the surface of the brain. Brain Revascularization,EC-IC Arterial Bypass,Extracranial-Intracranial Arterial Bypass,Microsurgical Revascularization, Cerebral,STA-MCA Bypass,Cerebral Microsurgical Revascularization,Arterial Bypass, EC-IC,Arterial Bypass, Extracranial-Intracranial,Arterial Bypasses, EC-IC,Arterial Bypasses, Extracranial-Intracranial,Bypass, EC-IC Arterial,Bypass, Extracranial-Intracranial Arterial,Bypass, STA-MCA,Bypasses, EC-IC Arterial,Bypasses, Extracranial-Intracranial Arterial,Bypasses, STA-MCA,Cerebral Microsurgical Revascularizations,EC IC Arterial Bypass,EC-IC Arterial Bypasses,Extracranial Intracranial Arterial Bypass,Extracranial-Intracranial Arterial Bypasses,Revascularization, Brain,Revascularization, Cerebral,Revascularization, Cerebral Microsurgical,STA MCA Bypass,STA-MCA Bypasses
D002560 Cerebrovascular Circulation The circulation of blood through the BLOOD VESSELS of the BRAIN. Brain Blood Flow,Regional Cerebral Blood Flow,Cerebral Blood Flow,Cerebral Circulation,Cerebral Perfusion Pressure,Circulation, Cerebrovascular,Blood Flow, Brain,Blood Flow, Cerebral,Brain Blood Flows,Cerebral Blood Flows,Cerebral Circulations,Cerebral Perfusion Pressures,Circulation, Cerebral,Flow, Brain Blood,Flow, Cerebral Blood,Perfusion Pressure, Cerebral,Pressure, Cerebral Perfusion
D005500 Follow-Up Studies Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease. Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

Related Publications

K Muraishi, and M Kameyama, and K Sato, and R Sirane, and A Ogawa, and T Yoshimoto, and J Hatazawa, and M Itoh
August 2018, Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia,
K Muraishi, and M Kameyama, and K Sato, and R Sirane, and A Ogawa, and T Yoshimoto, and J Hatazawa, and M Itoh
January 1983, Neurological research,
K Muraishi, and M Kameyama, and K Sato, and R Sirane, and A Ogawa, and T Yoshimoto, and J Hatazawa, and M Itoh
January 2008, Acta neurochirurgica. Supplement,
K Muraishi, and M Kameyama, and K Sato, and R Sirane, and A Ogawa, and T Yoshimoto, and J Hatazawa, and M Itoh
June 2011, Acta neurochirurgica,
K Muraishi, and M Kameyama, and K Sato, and R Sirane, and A Ogawa, and T Yoshimoto, and J Hatazawa, and M Itoh
March 1985, Neurosurgery,
K Muraishi, and M Kameyama, and K Sato, and R Sirane, and A Ogawa, and T Yoshimoto, and J Hatazawa, and M Itoh
November 1993, Nihon rinsho. Japanese journal of clinical medicine,
K Muraishi, and M Kameyama, and K Sato, and R Sirane, and A Ogawa, and T Yoshimoto, and J Hatazawa, and M Itoh
April 2010, British journal of neurosurgery,
K Muraishi, and M Kameyama, and K Sato, and R Sirane, and A Ogawa, and T Yoshimoto, and J Hatazawa, and M Itoh
January 2008, Acta neurochirurgica. Supplement,
K Muraishi, and M Kameyama, and K Sato, and R Sirane, and A Ogawa, and T Yoshimoto, and J Hatazawa, and M Itoh
March 1999, Neurological research,
K Muraishi, and M Kameyama, and K Sato, and R Sirane, and A Ogawa, and T Yoshimoto, and J Hatazawa, and M Itoh
January 1991, Zentralblatt fur Neurochirurgie,
Copied contents to your clipboard!