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Review
. 2015 Jan;120(1):193-203.
doi: 10.1213/ANE.0000000000000470.

Anesthetic management of patients undergoing intracranial bypass procedures

Jason Chui  1 , Pirjo Manninen, Raphael H Sacho, Lashmi Venkatraghavan
Affiliations
Review

Anesthetic management of patients undergoing intracranial bypass procedures

Jason Chui et al. Anesth Analg. 2015 Jan.

Abstract

Cerebral revascularization is used to augment or replace cerebral blood flow in patients at risk of developing cerebral ischemia. These include patients with moyamoya disease, occlusive cerebrovascular disease, skull base tumors, and complex aneurysms. Our aim in this review is to provide a comprehensive update of both surgical and anesthetic aspects of cerebral revascularization procedures. The anesthetic concerns for most patients presenting for different types of bypass procedures are similar and include the maintenance of adequate cerebral perfusion to prevent cerebral ischemia. Patients with complex aneurysms and tumors have additional considerations related to the surgical treatment of the underlying pathology.

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References

    1. Fisher M. Occlusion of the internal carotid artery. AMA Arch Neurol Psychiatry. 1951;65:346–77
    1. Vilela MD, Newell DW. Superficial temporal artery to middle cerebral artery bypass: past, present, and future. Neurosurg Focus. 2008;24:E2
    1. Inoue T, Fujimoto S. Prediction of cerebral blood flow restoration after extracranial-intracranial bypass surgery using superficial temporal artery duplex ultrasonography (STDU). Acta Neurochir Suppl. 2005;94:159–63
    1. Kim JS, Nah HW, Park SM, Kim SK, Cho KH, Lee J, Lee YS, Kim J, Ha SW, Kim EG, Kim DE, Kang DW, Kwon SU, Yu KH, Lee BC. Risk factors and stroke mechanisms in atherosclerotic stroke: intracranial compared with extracranial and anterior compared with posterior circulation disease. Stroke. 2012;43:3313–8
    1. Rincon F, Sacco RL, Kranwinkel G, Xu Q, Paik MC, Boden-Albala B, Elkind MS. Incidence and risk factors of intracranial atherosclerotic stroke: the Northern Manhattan Stroke Study. Cerebrovasc Dis. 2009;28:65–71

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