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Review ArticleReview Article
Open Access

Extracranial-intracranial bypass surgery in cerebrovascular diseases

Jens Haase
Saudi Medical Journal December 2000, 21 (12) 1116-1124;
Jens Haase
Department of Neurosurgery, Aalborg University, Aalborg, Denmark, and the Department of Neurosciences, Division of Neurosurgery, Riyadh Armed Forces Hospital, Riyadh, Kingdom of Saudi Arabia. 9220 Aalborg, Denmark. Fax. +45 98 154008. E-mail: [email protected]
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Abstract

Since the report from the International Study on extracranial-intracranial bypass was presented in 1985, an abrupt stop to almost all bypass surgery was introduced. The clear goals of the bypass study to reduce repeated strokes based on extracranial-intracranial bypass could not be documented. This review emphasizes the drawbacks of this previous study and why its conclusions were too sweeping, including statements that the study could not validate. The present status on cerebral hemodynamics and possible augmentations of reduced cerebral vascular reserve using extracranial-intracranial bypass are given. It is concluded that in hemodynamic proven cases extracranial-intracranial bypass may definitely benefit the patients. This group of patients, among all stroke victims in the International Study, could not be deducted due to the study design. The high frequency of repeated serious strokes occurring among patients with hemodynamic insufficiency and its prevention by bypass surgery is documented. The right operation was carried out among a large group of ‘wrong’ patients. The prevention of repeated strokes that an extracranial-intracranial bypass allows us today, indicates that this operative method should also be possibly applied in the Kingdom under well defined hemodynamic circumstances.

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This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Saudi Medical Journal: 21 (12)
Saudi Medical Journal
Vol. 21, Issue 12
1 Dec 2000
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Extracranial-intracranial bypass surgery in cerebrovascular diseases
Jens Haase
Saudi Medical Journal Dec 2000, 21 (12) 1116-1124;

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Extracranial-intracranial bypass surgery in cerebrovascular diseases
Jens Haase
Saudi Medical Journal Dec 2000, 21 (12) 1116-1124;
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© 2025 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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