First clinical experience with excimer assisted high flow bypass surgery of the brain

C. A.F. Tulleken*, R. M. Verdaasdonk

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

48 Citations (Scopus)

Abstract

A new type of revascularization of the brain is used in patients with brain ischaemia, caused by an occlusion of one or both internal carotid arteries, and in patients in whom the internal carotid artery has been deliberately occluded for the treatment of a giant aneurysm of the internal carotid artery. A so-called high flow extra-intracranial bypass operation is performed. An arterial or venous transplant is interposed between a branch of the external carotid artery or the external carotid artery itself and the intracranial portion of the internal carotid artery. The anastomosis with the intracranial portion of the internal carotid artery is made without temporary occlusion of the recipient artery and with the aid of the newly developed Excimer laser assisted anastomosis technique. The results of animal experiments and of a clinical series of 9 patients are reported.

Original languageEnglish
Pages (from-to)66-70
Number of pages5
JournalActa neurochirurgica
Volume134
Issue number1-2
DOIs
Publication statusPublished - 1 Mar 1995
Externally publishedYes

Keywords

  • brain ischaemia
  • excimer laser assisted anastomosis
  • giant aneurysm
  • High flow extra-intracranial bypass

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