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Emergency revascularization for acute main-trunk occlusion in the anterior circulation.

Emergency revascularization for acute main-trunk occlusion in the anterior circulation. Research Abstract Details 

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  • Emergency revascularization for acute main-trunk occlusion in the anterior circulation. Abstract Text:

    keiichi sakaiKeiichi Sakai,junpei nittaJunpei Nitta,tetsuyoshi horiuchiTetsuyoshi Horiuchi,toshihiro ogiwaraToshihiro Ogiwara,satoshi kobayashiSatoshi Kobayashi,yuichiro tanakaYuichiro Tanaka,kazuhiro hongoKazuhiro Hongo,keiichi sakaiKeiichi Sakai,junpei nittaJunpei Nitta,tetsuyoshi horiuchiTetsuyoshi Horiuchi,toshihiro ogiwaraToshihiro Ogiwara,satoshi kobayashiSatoshi Kobayashi,yuichiro tanakaYuichiro Tanaka,kazuhiro hongoKazuhiro Hongo,keiichi sakaiKeiichi Sakai,junpei nittaJunpei Nitta,tetsuyoshi horiuchiTetsuyoshi Horiuchi,toshihiro ogiwaraToshihiro Ogiwara,satoshi kobayashiSatoshi Kobayashi,yuichiro tanakaYuichiro Tanaka,kazuhiro hongoKazuhiro Hongo,

    We report the surgical results in patients with acute cerebral main-trunk occlusion in the anterior circulation. Between April 2004 and March 2005, 26 patients were surgically treated within 24h after the onset. The occlusion occurred in the internal carotid artery in 10 patients, in the middle cerebral artery in 15, and in the anterior cerebral artery in 1. We investigated the clinical characteristics and surgical treatment and evaluated the outcome using the modified Rankin Scale (mRS). Nine patients underwent anastomosis, 14 had an embolectomy, and 3 had a carotid endarterectomy. In all the patients, revascularization was achieved, and neurological improvement was obtained. At 6months after the onset, eight (30.8%) patients showed a good recovery (defined as grade 1 on the mRS), seven (26.9%) were rated as grade 2, eight (30.8%) were grade 3, and three (11.5%) were grade 4. Manual muscle test on admission was significantly different between the good outcome and the poor outcome groups at 6months after onset. None of the patients experienced any complications related to the surgery. Early surgical revascularization can be an effective and safe treatment modality in appropriately selected patients with acute cerebral main-trunk occlusion in the anterior circulation.

    Emergency revascularization for acute main-trunk occlusion in the anterior circulation. Publishing Authors By Initials

    k sakaiK Sakai,j nittaJ Nitta,t horiuchiT Horiuchi,t ogiwaraT Ogiwara,s kobayashiS Kobayashi,y tanakaY Tanaka,k hongoK Hongo,k sakaiK Sakai,j nittaJ Nitta,t horiuchiT Horiuchi,t ogiwaraT Ogiwara,s kobayashiS Kobayashi,y tanakaY Tanaka,k hongoK Hongo,k sakaiK Sakai,j nittaJ Nitta,t horiuchiT Horiuchi,t ogiwaraT Ogiwara,s kobayashiS Kobayashi,y tanakaY Tanaka,k hongoK Hongo,

    For similar abstracts research abstracts see: abstracts research

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    Emergency revascularization for acute main-trunk occlusion in the anterior circulation. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: Neurosurgical review

    VOLUME: 31

    Page Numbers: 69-76

    Journal Abbreviation:

    ISSN: 0344-5607

    DAY: 24

    MONTH: 10

    YEAR: 2007

    Emergency revascularization for acute main-trunk occlusion in the anterior circulation. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 7908181

    Emergency revascularization for acute main-trunk occlusion in the anterior circulation. Keywords Mesh Terms:

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    Grant and Affiliation Information for Emergency revascularization for acute main-trunk occlusion in the anterior circulation.

    AFFILIATION: Department of Neurosurgery, Shinshu University School of Medicine, Asahi 3-1-1, Matsumoto, 390-8621, Japan, skeiichi@hsp.md.shinshu-u.ac.jp.

    Country: Germany

    Germany Research PublicationGermany Research Publication

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    MEDLINETA: Neurosurg Rev

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