Archives of Reconstructive Microsurgery

The Korean Society for Microsurgery (대한미세수술학회)
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Microvascular Anastomosis in Neurosurgical Field

신경외과 영역에서의 미세혈관 문합술

  • Rha, Hyoung-Kyun (Catholic Neuroscience Center, Catholic University) ;
  • Lee, Kyung-Jin (Catholic Neuroscience Center, Catholic University) ;
  • Cho, Kyung-Keun (Catholic Neuroscience Center, Catholic University) ;
  • Park, Sung-Chan (Catholic Neuroscience Center, Catholic University) ;
  • Park, Hae-Kwan (Catholic Neuroscience Center, Catholic University) ;
  • Cho, Jung-Ki (Catholic Neuroscience Center, Catholic University) ;
  • Ji, Chul (Catholic Neuroscience Center, Catholic University) ;
  • Choi, Chang-Rak (Catholic Neuroscience Center, Catholic University)
  • 나형균 (가톨릭대학교 가톨릭 뇌신경 센터) ;
  • 이경진 (가톨릭대학교 가톨릭 뇌신경 센터) ;
  • 조경근 (가톨릭대학교 가톨릭 뇌신경 센터) ;
  • 박성찬 (가톨릭대학교 가톨릭 뇌신경 센터) ;
  • 박해관 (가톨릭대학교 가톨릭 뇌신경 센터) ;
  • 조정기 (가톨릭대학교 가톨릭 뇌신경 센터) ;
  • 지철 (가톨릭대학교 가톨릭 뇌신경 센터) ;
  • 최창락 (가톨릭대학교 가톨릭 뇌신경 센터)
  • Published : 1999.10.30
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Abstract

Objective : Extracranial-intracranial(EC-IC) microvascular anastomosis was performed in 18 patients with hemodynamic cerebral ischemia and traumatic cerebral aneurysm, the aim of this retrospective study was to assess its value in neurosurgical field. Method : Of 18 cases, 17 case were hemodynamic cerebral ischemia and one was traumatic cerebral aneurysm. There were 14 superficial temporal artery(STA)-to-middle cerebral artery(MCA) anastomosis, 3 saphenous vein graft bypass(2 external carotid artery(ECA)-to-MCA, 1main trunk of the STA-to-MCA) and 1 radial artery bypass(ECA-to-MCA). Results : Bypass patency was confirmed by postoperative angiography in all cases except for two cases, postoperative cerebral blood flow of ischemic brain showed significant increased in all cases with good patency through bypass. Conclusion : Revascularization by EC-IC microvascular anastomosis to the ischemic brain eliminated ischemia and was associated with excellent good outcome and good patency rates.

Keywords