두개외내우회로형성술의 적응증
Current Indication of Extracranial-Intracranial Bypass Surgery
대한뇌혈관학회지 2002년 4권 2호 p.99 ~ 103
김달수, 유도성, 허필우, 김문찬, 조경석, 김재건,
소속 상세정보
김달수 ( Kim Dal-Soo )
가톨릭대학교 의과대학 의정부성모병원 신경외과학교실
유도성 ( Yoo Do-Sung )
가톨릭대학교 의과대학 신경외과학교실
허필우 ( Huh Pil-Woo )
가톨릭대학교 의과대학 의정부성모병원 신경외과학교실
김문찬 ( Kim Moon-Chan )
가톨릭대학교 의과대학 신경외과학교실
조경석 ( Cho Kyoung-Seok )
가톨릭대학교 의과대학 의정부성모병원 신경외과학교실
김재건 ( Kim Jae-Keun )
가톨릭대학교 의과대학 신경외과학교실
KMID : 0890520020040020099
Abstract
Since the negative results of the international extracranical-intracranial bypass surgery (EIBS), this procedure is rarely employed in the treatment of patients with ischemic stroke. However, recent evidence suggests that patients with hemodynamic cerebral ischemia (HCI) are at particular risk for subsequent stroke compared to those with similar occlusive lesion but intact cerebrovascular reserve (CVR). Furthermore, several investigators have suggested that EIBS is effective in preventing recurrent ischemic attacks in patients with HCI due to occlusive disease and insufficient collateral blood supply. In addition, EIBS has been frequently used for the patients with moyamoya disease and for the patients who need therapeutic occlusion or sacrifice of a parent vessel during the treatment of complex intra or extracranial aneurysms or cranial base tumors. Based on a review of literature the rationale and the indication of EIBS will be summaried.
키워드
두개외내우회로형성술;적응증
Extracranial-intracranial bypass surgery;Ischemic stroke;Moyamoya disease;Aneurysm;Skull base tumor
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