Extracranial-intracranial arterial bypass for ischemic cerebrovascular disease

Extracranial-intracranial arterial bypass, an elegant procedure, was first performed and developed gradually by M. Gazi Yasargil. It has been used in the management of isehemic cerebrovascular disease, moyamoya disease, intracranial aneurysms and brain tumors. qhis article focuses on its application in the ischemic cerebrovascular disease, and reviews it from the aspects of cerebral hemodynamics of ischemic cerebrovascular disease, indications for arterial bypass, preoperative evaluation, operating modes, intraoperative assessment, complications, postoperative care and prognosis. Key words: revascularization;  cerebral ischemia;  hemodynamics