Microsurgical treatment of transient cerebral ischemia. Preliminary results in 50 patients
Samson, D.S.; Hodosh, R.M.; Clark, W.K.
JAMA 241(4): 376-378
1979
ISSN/ISBN: 0098-7484 PMID: 758555 Document Number: 146142
Extracranial-intracranial arterial bypass is a microneurosurgical procedure recently introduced in the treatment of a variety of cerebrovascular ischemic states. Fifty patients with transient ischemic attacks (TIAs) localized to the distribution of the internal carotid artery underwent this procedure during a 48-month period. All have been followed up for at least 14 months after surgery. There were no operative deaths, and notable postoperative morbidity has been experienced in less than 8% of cases. Seventy-six percent of patients have been asymptomatic since surgery, 14% have continued to experience TIAs, and 6% have had completed strokes (2% occurring in the operative hemisphere).