Bypass surgery for ischemic stroke caused by intracranial artery stenosis or occlusion

Bypass surgery for ischemic stroke caused by intracranial artery stenosis or occlusion

Ismatullah Soufiany;Khalil Ahmad Hijrat;Spina Soufiany;Lukui Chen;;;;;;;;;

【期刊名称】《临床转化神经医学(英文版)》 【年(卷),期】2024(000)001

【摘要】Surgical revascularization may be beneficial in patients with ischemic stroke caused by intracranial stenosis or occlusion who are ineligible for thrombolysis. Objective: To evaluate the outcome of superficial temporal artery to middle cerebral artery(STA-MCA) bypass in ischemic stroke caused by intracranial artery stenosis or occlusion. Methods: We retrospectively studied successive case series of 19 patients who underwent surgical treatment between 2013–2017 of STA-MCA bypass. Surgical procedure was performed for the patients with acute ischemic stroke who were ineligible for thrombolysis. Results: Of the 19 patients enrolled, symptom aggravation occurred during medical treatment, the patients were ineligible for thrombolysis despite being within 8 hours of symptom onset. Bypass significantly improved National Institutes of Health Stroke Scale scores, mean patient age was 78.05 years(range, 39-78 y). However, male 11(57.95%)out of nineteen patients were presented with left-sided-lesions while female 8(42%) had right-sided lesions with significant infarction growth by diffusion weighted imaging achieved, after surgical maneuver. No major

complications occurred intraoperatively, in contrast to 2(10.5%) minor manifestation were suffering minor complications probably they included the remote infarction(posterior cerebral artery territory). Pooled analysis with our patients showed a significant neurological improvement and a good outcome in 13(68.4%) patients without hemorrhage or any other complication, 6(31.6%) patients with unfavorable outcome(severe disability 2; vegetative state 4, non of them are died 0;). Conclusion: STA-MCA bypass may be beneficial to patients with acute stroke or stenosis in progress who are ineligible for medical therapy. Furthermore, it appears safe when the infarction is small. These findings indicate that STA-MCA bypass could be considered as a treatment option in selected patients with ischemic stroke caused by intracranial stenosis or occlusion. 【总页数】12页(P.49-60) 【关键词】

【作者】Ismatullah Soufiany;Khalil Ahmad Hijrat;Spina Soufiany;Lukui Chen;;;;;;;;;

【作者单位】Department of Neurosurgery, Zhongda Hospital, School of Medicine, Southeast University;Department of General Surgery, Zhongda

Hospital,

School

of

Medicine,

Southeast

University;Department of Gynecology/Obstetrics, Mirwais Hospital, School of Medicine, Kandahar University;Department of Neurosurgery,

Zhongda Hospital, School of Medicine, Southeast

University;Department of General Surgery, Zhongda Hospital, School of Medicine, Southeast University;Department of Gynecology/Obstetrics, Mirwais Hospital, School of Medicine, Kandahar University;Department of Neurosurgery, Zhongda Hospital, School of Medicine, Southeast University;Department of General Surgery, Zhongda Hospital, School of Medicine, Southeast University;Department of Gynecology/Obstetrics, Mirwais Hospital, School of Medicine, Kandahar University;Department of Neurosurgery, Zhongda Hospital, School of Medicine, Southeast University;Department of General Surgery, Zhongda Hospital, School of Medicine, Southeast University;Department of Gynecology/Obstetrics, Mirwais Hospital, School of Medicine, Kandahar University; 【正文语种】英文 【中图分类】R651.1 【文献来源】

https://www.zhangqiaokeyan.com/academic-journal-cn_clinical-translational-neurology-english_thesis/0201271309629.html 【相关文献】

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