Journal of Vascular Medicine & Surgery

Department of Neurosurgery, China Medical University Hospital, Taichung, Taiwan

Publications

• Research Article   
  Extracranial-Intracranial Bypass Surgery for Symptomatic Middle Cerebral Artery Occlusion-How to Prevent Intraoperative Complications
  Author(s): Chun-Chung Chen, Chun Wei Tseng, Charlton Chen-Ting Cheng, Chih-Hsiu Tu, Chun-Jen Chang, Yu-Chung Juan, Jeng-Hung Guo, Der-Yang Cho, Wei-Lin Hsu and Chien-Tung Yang*
  
  This retrospective, single-center study, conducted without randomization, aimed to evaluate the management of patients with symptomatic total occlusion of the Middle Cerebral Artery (MCA). The study focused on the effectiveness of Extracranial–Intracranial (EC–IC) bypass as a treatment for those with atherosclerotic MCA total occlusion, ischemic symptoms such as Transient Ischemic Attacks (TIAs), or inadequate cerebral hemodynamics despite maximal medical therapy. A total of 94 patients, who met specific criteria including experiencing ischemic syndromes (e.g., TIA) associated with atherosclerotic MCA total occlusion confirmed by radiological assessment and showing an insufficient response to optimal medical therapy, were included. This insufficiency was indicated by the potential recurrence of TIAs or ischemic stroke despite maximal medical treatment. Postoperatively, thr.. View more»
  

  Abstract