β Scribed by M. E. Raichle, B. E. Laux (auth.), S. J. Peerless M.D., F.R.C.S.(C), C. W. McCormick M.D.,F.R.C.P.(C) (eds.)
No coin nor oath required. For personal study only.
In June 1973, Professor George Austin invited a small group of neuroscientists from Asia, Europe, the United States, and Canada to the Loma Linda University School of Medicine in Loma Linda, California. The fundamental technique of fashioning a small vessel collateral to the brain had been pioneered by Donaghy and Yasargil 5 years before and was now gaining momentum with the increased availability of the operating microscope, fine instruments and sutures, and surgeons trained in microvascular surgery. The interchange of ideas at this first conference was magic. The handful of participants returned home stimulated with new ideas of technique, patient selection, and postoperative evaluation and resolved to meet again on a regular basis. A Second International Symposium was hosted by Howard Reichman at Loyola University in Chicago, Illinois in June of 1974; a Third Symposium at Rottach-Egern, West Germany in June of 1976 under Professor F. Marguth of the Ludwig-Maximilians-University of Munich.
Front Matter....Pages i-xvii
Front Matter....Pages 1-1
Role of Erythrocyte Carbonic Anhydrase in Oxygen Delivery to Brain....Pages 3-5
Recent Developments in the Measurement of Cerebral Hemodynamics and Metabolism....Pages 6-11
Front Matter....Pages 13-13
Serum and CSF Brain-Specific Isoenzyme Profiles in Experimental Cerebral Ischemia and Infarction....Pages 15-17
Free Radicals and Oxygen During Reperfusion....Pages 18-22
A New Model for Chronic Reversible Cerebral Ischemia....Pages 23-27
Brain Energetics in Patients Undergoing STA-MCA Anastomosis....Pages 28-32
Front Matter....Pages 33-33
Changes in Cerebral Autoregulation in Patients Undergoing Microanastomosis....Pages 35-39
Regional Cortical Blood Flow During Cerebrovascular Surgery....Pages 40-45
The Use of STA-MCA Bypass in the Evaluation of rCBF....Pages 46-55
rCBF Measurement in Patients with STA-MCA Shunts....Pages 56-58
Cerebral Blood Flow in Superficial Temporal Artery to Middle Cerebral Artery Anastomosis....Pages 59-66
Experimental Cerebral Revascularization Studied by 85 Kr Clearance and Fluorescein Angiography After 24 Hours of Permanent Occlusion of the Middle Cerebral Artery in Dogs....Pages 67-73
Regional Cerebral Perfusion Assessed with 81m Kr and Emission Computerized Tomography....Pages 74-79
The Value of Noninvasive Regional CBF Measurements in Diagnostic and Follow-up Studies in Cerebral Vascular Diseases with Special Regard to EIAB....Pages 80-86
Front Matter....Pages 87-87
Noninvasive Management of Stroke Patients by Doppler Sonography and Dynamic Radionuclide Brain Scanning....Pages 89-94
Noninvasive Evaluation of Superficial Temporal to Middle Cerebral Artery Anastomosis....Pages 95-98
Intraoperative Hemodynamic Study by Doppler Ultrasonic Flowmeter in the Extracranial-Intracranial Arterial Bypass....Pages 99-105
Ocular Pneumoplethysmography in Carotid Occlusive Disease....Pages 106-109
Changes in Collateral Circulation and EEG Analysis Following Extra-Intracranial Anastomosis....Pages 110-116
The Emergency STA-MCA Bypass Evaluated by the Induced-Functional EEG Analysis in Acute Ischemic Stroke....Pages 117-122
Front Matter....Pages 123-123
Correlation of Noninvasive Doppler and Angiographic Evaluation of Extra-Intracranial Anastomoses....Pages 125-127
STA-MCA Anastomosis: Detailed Analysis of Pre- and Postoperative Angiography....Pages 128-132
Angiography of the External Carotid-Internal Carotid Anastomosis (EC-IC)....Pages 133-137
Cortical Artery Pressure: Preoperative and Postoperative Arteriographic Findings in Patients with Internal Carotid Artery Occlusion....Pages 138-141
Angiographic Findings and Cross-Sectional Brain Perfusion Studies after Extra-Intracranial Arterial Bypass....Pages 142-147
Morphologic and Functional Correlates in Transient Cerebral Ischemia....Pages 148-154
Front Matter....Pages 155-155
In-Situ Dissections of Brain with Emphasis on the Blood Supply at the Base of the Brain....Pages 157-165
Successful Adhesive Repair of Middle Cerebral Arteriotomy in Primates....Pages 166-172
A New Technique for the End-to-Side Anastomosis Between Small Arteries....Pages 173-177
Safe Microclip Occlusive Force for Temporary Vascular Occlusion....Pages 178-185
The Influence of Adventitial Tissue to Healing Processes Following Microsurgical Interventions on Small Vessels....Pages 186-189
Ultrastructural Control of Small Vessels Following Microsurgical Intervention by Tissue Adhesion with Fibrin....Pages 190-197
Comparative Evaluation of Microvascular Arterial Graft: Arterial Autograft versus Human Umbilical Artery Graft....Pages 198-204
Patency, Blood Flow, and Histologic Response in 2- to 3-mm Arterial Autografts....Pages 205-214
Arterial Dilatation and Augmentation of Blood Flow in Experimental Arteriovenous Fistulas....Pages 215-226
The Effect of Heparin on the Patency Rate of Autogenous Vein Grafts Inserted into the Arterial System of Rats....Pages 227-236
The Quantitative Assessment of the Effect of Antiplatelet Drugs on Thrombosis in Microvascular Anastomoses....Pages 237-239
Relationship of Internal Carotid Artery Stump Pressure to STA-MCA Bypass Function....Pages 240-250
Measurement of Intracranial Arterial Pressure in Patients Undergoing Extracranial to Intracranial Microsurgical Anastomosis for Cerebrovascular Ischemia....Pages 251-256
Front Matter....Pages 257-257
High Cervical Carotidopathies....Pages 259-267
Front Matter....Pages 257-257
Extra-Intracranial Arterial Bypass Surgery for Cerebral Ischemia in Patients with Normal Cerebral Angiograms....Pages 268-274
Revascularization in the Acute Stage of the MCA Occlusion....Pages 275-282
Cerebral Microvascular Surgery in Completed Stroke....Pages 283-285
Extra-Intracranial Anastomosis Operation Associated with Hyperbaric Oxygenation in the Treatment of Completed Stroke....Pages 286-291
Extra-Intracranial Arterial Bypass Surgery in Patients with Bilateral Internal Carotid Artery Occlusions....Pages 292-296
The Surgical Management of Bilateral Carotid Artery Occlusive Disease....Pages 297-304
Indications for Surgery in Patients with Several Cerebrovascular Lesions....Pages 305-316
Further Experience with Occipital Artery-Caudal Loop-PICA Anastomosis for Vertebrobasilar Insufficiency....Pages 317-324
New Approaches in Cerebral Revascularization....Pages 325-327
Failure of EC-IC Bypass to Alter Ischemia....Pages 328-332
Hemorrhagic Infarction after Microsurgical Cerebral Revascularization....Pages 333-340
Extracranial-Intracranial Anastomosis in Cerebrovascular Disease....Pages 341-343
Results in 51 Patients with EC-IC Bypass: Technical and Clinical Considerations....Pages 344-349
Microneurosurgical Arterial Bypass for Cerebral Ischemia: The San Francisco Experience....Pages 350-356
STA-MCA Anastomosis: Further Analysis of Long-Term ResultsβA Neurologistβs View....Pages 357-361
Back Matter....Pages 363-372
Neurosurgery
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