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The masaryk hospital extracranial–intracranial bypass study. Neurosurg Rev 2016; 40:53-57. [DOI: 10.1007/s10143-016-0746-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2015] [Revised: 03/31/2016] [Accepted: 04/09/2016] [Indexed: 11/25/2022]
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Reynolds MR, Derdeyn CP, Grubb RL, Powers WJ, Zipfel GJ. Extracranial-intracranial bypass for ischemic cerebrovascular disease: what have we learned from the Carotid Occlusion Surgery Study? Neurosurg Focus 2014; 36:E9. [DOI: 10.3171/2013.10.focus13427] [Citation(s) in RCA: 42] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Extracranial-intracranial (EC-IC) arterial bypass has been used in the treatment of various neurosurgical pathologies including skull base tumors requiring sacrifice of a large intracranial artery; complex intracranial aneurysms requiring trapping; and distal revascularization, moyamoya disease, and symptomatic cerebrovascular stenoocclusive disease. The latter indication has been the subject of intense investigations in several large randomized controlled trials, most recently the Carotid Occlusion Surgery Study (COSS). In the present literature review and synthesis, the authors examine the current evidence available for EC-IC arterial bypass for the treatment of ischemic cerebrovascular disease including both extracranial carotid artery occlusive disease and intracranial atherosclerotic disease. They focus particular attention on EC-IC arterial bypass for the treatment of symptomatic hemodynamic cerebral ischemia and how lessons learned from the COSS might guide future investigations into the treatment of this disease.
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Affiliation(s)
| | - Colin P. Derdeyn
- 1Departments of Neurological Surgery,
- 2Radiology, and
- 3Neurology, Washington University School of Medicine, St. Louis, Missouri; and
| | | | - William J. Powers
- 4Department of Neurology, University of North Carolina School of Medicine, Chapel Hill, North Carolina
| | - Gregory J. Zipfel
- 1Departments of Neurological Surgery,
- 2Radiology, and
- 3Neurology, Washington University School of Medicine, St. Louis, Missouri; and
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