Revascularizaçao cerebral microcirúrgica

Almeida, Gilberto M. de; Tedesco-Marchese, A. J.; Ferreira, Marcus Castro; Scaff, Milberto

doi:10.1590/S0004-282X1977000200001

Resumos

São feitas considerações a respeito das novas técnicas de revascularização cerebral. Os resultados obtidos em uma série de 5 doentes, submetidos a 6 anastomoses entre artéria temporal superficial e ramo da cerebral média, foram satisfatórios. Esta técnica relativamente inócua é, quando bem indicada, bastante útil.

Techniques of microsurgical revascularization are reviewed. A series of 5 cases, submited to 6 anastomosis of the superficial temporal artery is presented.

Revascularizaçao cerebral microcirúrgica

Microsurgical cerebral revascularization: report of five cases

Gilberto M. de Almeida; A. J. Tedesco-Marchese; Marcus Castro Ferreira; Milberto Scaff

RESUMO

São feitas considerações a respeito das novas técnicas de revascularização cerebral. Os resultados obtidos em uma série de 5 doentes, submetidos a 6 anastomoses entre artéria temporal superficial e ramo da cerebral média, foram satisfatórios. Esta técnica relativamente inócua é, quando bem indicada, bastante útil.

SUMMARY

Techniques of microsurgical revascularization are reviewed. A series of 5 cases, submited to 6 anastomosis of the superficial temporal artery is presented.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Trabalho realizado nos serviços de Neurocirurgia do Hospital das Clinicas da FMUSP e do Hospital 9 de Julho (São Paulo, SP).

Clinica Neurológica - Faculdade de Medicina de São Paulo - Caixa Postal Stfl - 01000 São Paulo 8P - Brasil.

1. AUSMAN. J. J.; MOORE, J. & CHOU, S. N. - Spontaneous cerebral revascularization in a patient with STA-MCA anastomosis: case report. J. Neurosurg. 44:84, 1976.
2. AUSTIN, G.; LAFFIN, D. & HAYWARD, W. - Microcerebral anastomosis for the prevention of stroke. In H. Handa, editor - Microneurosurgery. University Park Press, Baltimore, 1973, pags. 47-67.
3. DONAGHY, R. M. P. & YASARGIL, M. G. - Extra-intracranial blood flow diversion. American Association of Neurological Surgeons, Chicago, April 11, 1968.
4. FISCHER, C. M. - Clinical syndromes in cerebral thrombosis, hypertensive hemor-rage and ruptured saccular aneurysms. Clin. Neurosurg. 22:117, 1974.
5. GRATZL, O.; SCHMIEDEK, P.; SPETZLER, R.; STEINHOFF, H. & MARGUTH, F. Clinical experience with extra-cranial arterial anastomosis in 65 cases. J. Neurosurg. 44:313, 1976.
6. GRATZL, O.; SCHMIEDEK, P. & STEINHOFF, H. - Extra-intracranial arterial bypass in patients with oclusion of cerebral arteries due to trauma and tumor. In H. Handa, editor - Microneurosurgery. University Park Press, Baltimore, 1973, pags. 68-80.
7. LAZAR, M. L. & CLARK, K. - Microsurgical cerebral revascularization: concepts and practice. Surg. Neurol. 1:355, 1973.
8. LOUGHED, W. M.; MARSHALL, B. M.; HUNTER, M.; MICHEL, E. R. & SANDWITH-SMYTH, H. - Common carotid to intracranial internal carotid bypass venous graf.: technical note. J. Neurosurg. 34:114, 1971.
9. OJEMANN, R. G.; CROELL, R. M.; ROBERSON, G. H. & FISHER, C. M. - Surgical treatment of extracranial carotid occlusive disease. Clin. Neurosurg. 22:214, 1974.
10. PURVES, M. J. - The Physiology of the Cerebral Circulation. Cambridge University Press. Cambridge, 1972.
11. REICHMAN, O. H. - Extracranial-intracranial arterial anastomosis. In J. P. Whis-nant & B. A. Sandok, editores - Ninth Conference on Cerebral Vascular Disease. Grune & Stratton, New York, 1975, pags. 175-186.
12. REICHMAN, O. H.; ANDERSON, R. E.; ROBERTS, T. S. & HEILBRUN, M. P. - The treatment of intracranial occlusive cerebrovascular disease by STA-Oortical MCA anastomosis. In H. Handa, editor - Microneurosurgery. University Park Press, Baltimore, 1973, pags. 31-46.
13. SCHMIEDEK, P.; GRATZL, O.; SPETZLER, R.; STEINHOFF, H.; ENZENBACH, E.; BRENDEL, W, & MARGUTH, F. - Selection of patients for extra-intracranial arterial bypass surgery based on CBF measurements. J. Neurosurg. 44:303, 1976.
14. TEW JR. J. M. - Reconstructive intracranial vascular surgery for prevention of stroke. Clin. Neurosurg. 22:264, 1974.
15. YASARGIL, M. G. - Diagnosis and indication for operations in cerebrovascular occlusive disease. In M. G. Yasargil - Microsurgery Applied to Neurosurgery. Georg Thieme Verlag. New York, 1969, pags. 95-118.
16. YASARGIL, M. G. - Extra-intracranial arterial anastomosis for transient cerebral ischemic attacks. Fifth International Congress of Neurological Surgery, Tóquio, 1973.

Datas de Publicação

Publicação nesta coleção
30 Ago 2012
Data do Fascículo
Jun 1977

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. AUSMAN. J. J.; MOORE, J. & CHOU, S. N. - Spontaneous cerebral revascularization in a patient with STA-MCA anastomosis: case report. J. Neurosurg. 44:84, 1976.

[2] 2. AUSTIN, G.; LAFFIN, D. & HAYWARD, W. - Microcerebral anastomosis for the prevention of stroke. In H. Handa, editor - Microneurosurgery. University Park Press, Baltimore, 1973, pags. 47-67.

[3] 3. DONAGHY, R. M. P. & YASARGIL, M. G. - Extra-intracranial blood flow diversion. American Association of Neurological Surgeons, Chicago, April 11, 1968.

[4] 4. FISCHER, C. M. - Clinical syndromes in cerebral thrombosis, hypertensive hemor-rage and ruptured saccular aneurysms. Clin. Neurosurg. 22:117, 1974.

[5] 5. GRATZL, O.; SCHMIEDEK, P.; SPETZLER, R.; STEINHOFF, H. & MARGUTH, F. Clinical experience with extra-cranial arterial anastomosis in 65 cases. J. Neurosurg. 44:313, 1976.

[6] 6. GRATZL, O.; SCHMIEDEK, P. & STEINHOFF, H. - Extra-intracranial arterial bypass in patients with oclusion of cerebral arteries due to trauma and tumor. In H. Handa, editor - Microneurosurgery. University Park Press, Baltimore, 1973, pags. 68-80.

[7] 7. LAZAR, M. L. & CLARK, K. - Microsurgical cerebral revascularization: concepts and practice. Surg. Neurol. 1:355, 1973.

[8] 8. LOUGHED, W. M.; MARSHALL, B. M.; HUNTER, M.; MICHEL, E. R. & SANDWITH-SMYTH, H. - Common carotid to intracranial internal carotid bypass venous graf.: technical note. J. Neurosurg. 34:114, 1971.

[9] 9. OJEMANN, R. G.; CROELL, R. M.; ROBERSON, G. H. & FISHER, C. M. - Surgical treatment of extracranial carotid occlusive disease. Clin. Neurosurg. 22:214, 1974.

[10] 10. PURVES, M. J. - The Physiology of the Cerebral Circulation. Cambridge University Press. Cambridge, 1972.

[11] 11. REICHMAN, O. H. - Extracranial-intracranial arterial anastomosis. In J. P. Whis-nant & B. A. Sandok, editores - Ninth Conference on Cerebral Vascular Disease. Grune & Stratton, New York, 1975, pags. 175-186.

[12] 12. REICHMAN, O. H.; ANDERSON, R. E.; ROBERTS, T. S. & HEILBRUN, M. P. - The treatment of intracranial occlusive cerebrovascular disease by STA-Oortical MCA anastomosis. In H. Handa, editor - Microneurosurgery. University Park Press, Baltimore, 1973, pags. 31-46.

[13] 13. SCHMIEDEK, P.; GRATZL, O.; SPETZLER, R.; STEINHOFF, H.; ENZENBACH, E.; BRENDEL, W, & MARGUTH, F. - Selection of patients for extra-intracranial arterial bypass surgery based on CBF measurements. J. Neurosurg. 44:303, 1976.

[14] 14. TEW JR. J. M. - Reconstructive intracranial vascular surgery for prevention of stroke. Clin. Neurosurg. 22:264, 1974.

[15] 15. YASARGIL, M. G. - Diagnosis and indication for operations in cerebrovascular occlusive disease. In M. G. Yasargil - Microsurgery Applied to Neurosurgery. Georg Thieme Verlag. New York, 1969, pags. 95-118.

[16] 16. YASARGIL, M. G. - Extra-intracranial arterial anastomosis for transient cerebral ischemic attacks. Fifth International Congress of Neurological Surgery, Tóquio, 1973.