STA-MCA Anastomosis and Collateral Circulation
スポンサーリンク
概要
- 論文の詳細を見る
Two representative cases of anastomosis of the superficial temporary artery (STA) to the middle cerebral artery (MCA) for the treatment of focal cerebral ischemia are presented and the changes in collateral circulation following the surgery are discussed based on twenty cases treated in this way. Redistribution of cerebral circulation took place following the surgery. Although the collateral pathway constructed microsurgically was narrow and slender in the early postoperative period, it dilated with time in a majority of the cases. On the other hand, some of preexisting extra- to intracranial collateral channels atrophied and narrowed following the surgery. The role of the microsurgically constructed bypass might be of limited value in the early postoperative period. Spontaneously developed collateral channels must, therefore, be preserved to operate safely for prevention of cerebral ischemic attacks particularly in this period. Our findings indicate that sacrificing the anterior branch of the STA for STA-MCA anastomosis might be risky in certain cases in which the anterior branch was functioning as one of the main preexisting extra- to intracranial collateral routes. In such cases only the posterior branch of STA should be used as a donor artery.
- 日本脳神経外科学会の論文
- 1980-07-15
著者
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SHIMIZU Keiji
Department of Neurosurgery, Kochi Medical School, Kochi University
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HAYAKAWA Toru
Department of Neurosurgery, Osaka University Medical School
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Mukawa Jiro
Department Of Neurosurgery Osaka University Medical School
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Mukawa Jiro
Neurosurgery Kyoto University Medical School
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Mukawa Jiro
Department Of Neurological Surgery Okayama University Medical School
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Mogami Heitaro
Department of Neurosurgery,Osaka University Medical School
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Shimizu Keiji
Department Of Neurosurgery Osaka University Medical School
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Hayakawa Toru
Department Of Neurosurgery Osaka University Medical School
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Hayakawa Toru
Department Of Biochemistry Akita University School Of Medicine
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IWATA Yoshikazu
Department of Neurosurgery,Osaka University Medical School
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NUKADA Tadaatsu
Department of Internal Medicine, Osaka University Medical School
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KIMURA Kazufumi
Department of Internal Medicine, Osaka University Medical School
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YONEDA Shotaro
Department of Internal Medicine, Osaka University Medical School
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TAKANO Takashi
Department of Internal Medicine, Osaka University Medical School
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MITOMO Masanori
Department of Radiology, Osaka University Medical School
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Kimura Kazufumi
Department Of Internal Medicine Osaka University Medical School
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Shimizu Keiji
Department Of Neurosurgery Kochi Medical School
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MOGAMI Heitaro
Osaka University Medical School
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Iwata Yoshikazu
Department Of Neurosurgery Osaka University Medical School
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Nukada Tadaatsu
Department Of Internal Medicine Osaka University Medical School
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Mogami Heitaro
Department Of Neurosurgery Osaka University Medical School
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Mogami Heitaro
Department Of Neurosurgery Osaka University Hospital
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Yoneda Shotaro
Department Of Internal Medicine Osaka University Medical School
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Yoneda Shotaro
Department Of Cardiology Yao Municipal Hospital
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Yoneda Shotaro
The First Department Of Internal Medicine Osaka University Medical School
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Takano Takashi
Department Of Internal Medicine Osaka University Medical School
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Hayakawa Toru
Surgery Osaka University Medical School
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Hayakawa Toru
2ed Department Of Surgery Osaka University Medical School
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Nukada Tadaatsu
The First Department Of Internal Medicine Osaka University Medical School
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Mitomo Masanori
Department Of Radiology Osaka University Medical School
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Hayakawa Toru
Department Of Neurosurgery The Center For Adult Diseases
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Mukawa Jiro
Dept.of Neurosurgery Osaka University Medical School
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Iwata Yoshikazu
Department Of Neurological Surgery Osaka National Hospital
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Iwata Yoshikazu
Dept.of Neurosurgery Osaka University Medical School
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Mogami Heitaro
Department Of Neurological Surgery Osaka Univeristy
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TAKANO Takashi
Department of Cardiovascular Surgery, Shin Tokyo Hospital
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