医学
神经外科
队列
动脉
概念化
外科
内科学
人工智能
计算机科学
作者
Visish M. Srinivasan,Redi Rahmani,Mohamed A. Labib,Michael J. Lang,Joshua S. Catapano,Christopher S. Graffeo,Michael T. Lawton
标识
DOI:10.1016/j.nec.2022.06.004
摘要
Cerebrovascular bypass has undergone a remarkable evolution since its initial description. Recent developments have required the conceptualization of a fourth generation in bypass techniques, encompassing both unconventional suturing techniques (type 4A; eg, intraluminal suturing) and atypical vascular constructs (type 4B; eg, middle communicating artery bypass). This cohort study reports 44 bypass operations performed by a single cerebrovascular neurosurgeon from 1997 to 2021 among a total cohort of 750 bypasses. Most bypasses were for the treatment of complex aneurysms (36 of 44 cases, 89%). Although challenging, these operations empower novel approaches to a variety of otherwise untreatable lesions.
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