Cerebral angiography in brainstem revascularization

Clifford R Jr. Jack, R. S. Boulos, B. A. Mehta, D. Bhansali, J. I. Ausman, F. G. Diaz, S. C. Patel

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Abstract

Surgical management of patients with vertebrobasilar insufficiency has been developed within the past decade. Cerebral angiography plays a crucial role in identifying potential surgical candidates and in directing the surgical approach. Fifty-two patients underwent brainstem revascularization procedures at Henry Ford Hospital between November 1979 and August 1985. Twelve occipital artery to anterior inferior cerebellar artery bypasses, five occipital artery to posterior inferior cerebellar artery bypasses, four intracranial vertebral endarterectomies, 29 superficial temporal to superior cerebellar artery bypasses, and two superficial temporal to posterior cerebral artery bypasses were performed. The preoperative angiograms in these patients were analyzed to illustrate how angiographic localization of vascular disease directs the surgical approach. We report the results of postoperative angiograms. Technical features of the various surgical procedures, the role of the neuroradiologist, and several features of the angiographic technique used with these patients are described.

Original languageEnglish (US)
Pages (from-to)211-219
Number of pages9
JournalAmerican Journal of Neuroradiology
Volume8
Issue number2
StatePublished - 1987
Externally publishedYes

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ASJC Scopus subject areas

  • Clinical Neurology
  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

Jack, C. R. J., Boulos, R. S., Mehta, B. A., Bhansali, D., Ausman, J. I., Diaz, F. G., & Patel, S. C. (1987). Cerebral angiography in brainstem revascularization. American Journal of Neuroradiology, 8(2), 211-219.