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Risky Cerebrovascular Anatomic Orientation: Implications for Brain Revascularization.

Abstract：

:This study documents a risky vascular anatomic orientation that might play an important role in the postoperative hemodynamics following anterior cerebral artery (ACA) revascularization. A 71-year-old woman presented with uncontrollable frequent right lower limb transient ischemic attacks (TIAs) attributed to a left cerebral ischemic lesion due to severe left ACA stenosis. She underwent successful left-sided superficial temporal artery-ACA bypass using interposed vascular graft. The patient awoke satisfactory from anesthesia; however, on postoperative day 1, she developed right-sided hemiparesis. Extensive postoperative investigations disclosed that watershed shift infarction was considered the etiology for this neurologic deterioration.

journal_name

World Neurosurg

journal_title

World neurosurgery

authors

Nagm A,Horiuchi T,Yanagawa T,Hongo K

doi

10.1016/j.wneu.2016.09.023

subject

Has Abstract

pub_date

2016-12-01 00:00:00

pages

610.e15-610.e20

eissn

1878-8750

issn

1878-8769

pii

S1878-8750(16)30849-X

journal_volume

96

pub_type

杂志文章

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