Journal of Cerebrovascular and Endovascular Neurosurgery

  • 제20권2호
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  • Pages.127-132
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  • 2018
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  • 2234-8565(pISSN)
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  • 2287-3139(eISSN)
대한뇌혈관외과학회 (Korean Society of Cerebravascular Surgeons)
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Revision Superficial Temporal Artery-Middle Cerebral Artery Bypass Surgery for Recurrent Acute Ischemic Stroke Due to Delayed Occlusion of the Bypass Graft

  • Choi, Yun-Hee (Department of Neurosurgery, Busan-Ulsan Regional Cardio-Cerebrovascular Center, Dong-A University College of Medicine) ;
  • Park, Hyun-Seok (Department of Neurosurgery, Busan-Ulsan Regional Cardio-Cerebrovascular Center, Dong-A University College of Medicine) ;
  • Kang, Myong-Jin (Department of Radiology, Busan-Ulsan Regional Cardio-cerebrovascular Center, Dong-A University College of Medicine) ;
  • Cha, Jae-Kwan (Department of Neurology, Busan-Ulsan Regional Cardio-cerebrovascular Center, Dong-A University College of Medicine)
  • 투고 : 2017.08.18
  • 심사 : 2018.05.01
  • 발행 : 2018.06.30
⟨ 이전 논문 다음 논문 ⟩

초록

Intravenous thrombolysis (IVT) and endovascular treatment (EVT) are currently the main treatments for reperfusion in acute ischemic stroke. Although the EVT recanalization rate has increased, unsuccessful recanalization is still observed in 10-30% cases. Superficial temporal artery-middle cerebral artery (STA-MCA) bypass is considered a rescue therapy in such cases, but in most centers it is not usually performed for acute ischemic stroke. Graft occlusion is rare following STA-MCA bypass, but it might lead to recurrent ischemic stroke. We hereby report on a patient with right MCA infarction and in whom EVT failed due to complete proximal internal carotid artery occlusion. He underwent an emergency STA-MCA bypass, resulting in a full recovery of his motor weakness. However, six months later, the patient experienced recurrent acute ischemic stroke due to bypass graft occlusion. His EVT failed again but revision bypass surgery, using STA remnant branch, was successful with full motor weakness recovery. We recommend a revision bypass surgery as a feasible therapeutic option for recurrent cerebral infarction caused by delayed STA graft occlusion.

키워드

과제정보

연구 과제 주관 기관 : Dong-A University

참고문헌

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