Authors: Guthikonda, Murali; Guyot, Lisa; Diaz, Fernando

Source: Neurological Research, Volume 24, Supplement 1, April 2002 , pp. 80-83(4)

Publisher: Maney Publishing

Abstract:

Total occlusion of internal carotid artery in the cervical region is an end result of progressive occlusive vascular disease. A small proportion of these patients will have symptoms of cerebral ischemia due to cerebral hypoperfusion in a delayed fashion. Identification of those individuals who are at risk of developing symptoms and prophylactically treating with a revascularization procedure will prevent such catastrophic events. With the co-operative study for bypass not supporting the bypass procedure and trial being questioned for its design and conclusions, a new trial of extracranial-intracranial bypass, The Carotid Occlusion Surgery Study, using the currently available technology will be undertaken to verify that the bypass will decrease the future stroke rate by at least 40% in patients with total carotid occlusion. A subset of patients with skull base pathology including tumors and aneurysms who may have to undergo carotid sacrifice as part of the surgical procedure are at risk of peri-operative and delayed stroke. Identification of these patients at risk by pre-operative tests may allow performance of extracranial-intracranial bypass prior to undertaking complex skull base procedures. The new imaging technology will guide management of these patients at risk and help identify patients who may need a bypass procedure. [Neurol Res 2002; 24: S80-S83]

Keywords: CAROTID OCCLUSION; STUDY; CEREBRAL REVASCULARIZATION; CAROTID OCCLUSION SURGERY; EXTRACRANIAL-INTRACRANIAL BYPASS

Document Type: Research Article

DOI: http://dx.doi.org/10.1179/016164102101199954

Affiliations: Department of Neurological Surgery, Wayne State University, Detroit, MI, USA

Publication date: 2002-04-15

More about this publication?

• Authors wishing to cite fast track papers should give the journal name and the article DOI. This will enable reference linking via CrossRef and allow forward and backward citation tracking systems to associate the fast track citation with the final journal reference.

• Editorial Board
• Information for Authors
• Submit a Paper
• Subscribe to this Title
• Information for Advertisers
• Terms & Conditions
• Virtual Maney - Stroke
• Top articles
• Health Sciences Spotlight
• ingentaconnect is not responsible for the content or availability of external websites

Related content

• In this: publication
• By this: publisher
• In this Subject: Neurology & Psychiatry
• By this author: Guthikonda, Murali ;  Guyot, Lisa ;  Diaz, Fernando

Website © Publishing Technology. Article copyright remains with the publisher, society or author(s) as specified within the article.

• Terms and conditions
• Privacy policy
• Information for advertisers