Neurol. praxi. 2010;11(1):45-49

Extra-intracranial bypass in arteria carotis interna occlusion

MUDr.Jan Šroubek1, MUDr.Martin Kovář2, MUDr.Aleš Tomek3, MUDr.Richard Plný4, prof.MUDr.Josef Vymazal, DrSc.5
1 Neurochirurgické oddělení Nemocnice Na Homolce, Praha
2 Neurologické oddělení Nemocnice Na Homolce, Praha
3 Neurologická klinika 2. LF UK a FN Motol, Praha
4 Neurologické oddělení Oblastní nemocnice Trutnov, a. s., Trutnov
5 Radiodiagnostické oddělení Nemocnice Na Homolce, Praha

The use of extra-intracranial bypass (EC-IC) for secondary prevention of ischemic stroke dropped markedly after results of randomized

multicenter EC-IC bypass trial in the mid 80th. Patients after ischemic stroke with proved ACI occlusion did not benefit from the surgery



treatment: In the 90th a vast progression appeared in the area of functional examination of cerebrovascular compromise with the abilitiy

to identify cerebrovascular reserve capacity. Upon small trials of patients with hemodynamic compromise there is clear positive effect

of EC-IC bypass; though the new sufficient randomized trial proving the efficacy is missing. The paper is summary of recent knowledge

used in indication of EC-IC bypass.

Keywords: EC-IC bypass, arteria carotis interna occlusion, cerebrovascular reserve capacity

Published: March 1, 2010  Show citation

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Šroubek J, Kovář M, Tomek A, Plný R, Vymazal J. Extra-intracranial bypass in arteria carotis interna occlusion. Neurol. praxi. 2010;11(1):45-49.
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