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Bonnet bypass in multiple cerebrovascular occlusive disease


Zumofen, D; Khan, N; Roth, P; Samma, A; Yonekawa, Y (2008). Bonnet bypass in multiple cerebrovascular occlusive disease. In: Yonekawa, Y; Tsukahara, T; Valavanis, A; Khan, N. Changing Aspects in Stroke Surgery: Aneurysms, Dissections, Moyamoya Angiopathy and EC-IC Bypass. Austria - Wien, 2008: Springer Viena, 103-107.

Abstract

The rationale and technique of the bonnet bypass procedure is discussed in two cases of multiple cerebrovascular occlusive disease. METHOD: Cerebral revascularization was achieved using respectively a radial artery interposition graft and a brachiocephalic vein interposition graft to connect the contralateral STA with a cortical branch of the ipsilateral MCA. FINDINGS: This alternate bypass technique proved to be an effective means of cerebral revascularization in selected cases where ipsilateral extracranial donor vessels were unavailable for classic STA-MCA bypass surgery. CONCLUSION: Clinical and hemodynamic improvement can be achieved by a bonnet bypass in selected cases of multiple cerebrovascular occlusive disease. In addition to its previously described role in skull base tumor surgery, the procedure should therefore earn consideration in the treatment of cerebral ischemia and stroke prevention.

The rationale and technique of the bonnet bypass procedure is discussed in two cases of multiple cerebrovascular occlusive disease. METHOD: Cerebral revascularization was achieved using respectively a radial artery interposition graft and a brachiocephalic vein interposition graft to connect the contralateral STA with a cortical branch of the ipsilateral MCA. FINDINGS: This alternate bypass technique proved to be an effective means of cerebral revascularization in selected cases where ipsilateral extracranial donor vessels were unavailable for classic STA-MCA bypass surgery. CONCLUSION: Clinical and hemodynamic improvement can be achieved by a bonnet bypass in selected cases of multiple cerebrovascular occlusive disease. In addition to its previously described role in skull base tumor surgery, the procedure should therefore earn consideration in the treatment of cerebral ischemia and stroke prevention.

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Additional indexing

Item Type:Book Section, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Neurosurgery
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:2008
Deposited On:17 Feb 2009 14:40
Last Modified:05 Apr 2016 13:00
Publisher:Springer Viena
Series Name:Acta Neurochirurgica Supplementum
Number:Volume
ISBN:978-3-211-76588-3 (P) 978-3-211-76589-0 (E)
Additional Information:Buch DOI:10.1007/978-3-211-76589-0 The original publication is available at www.springerlink.com
Publisher DOI:10.1007/978-3-211-76589-0_18
PubMed ID:18496953
Permanent URL: http://doi.org/10.5167/uzh-13497

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