Stroke Research Today is a free monthly online journal that collates and summarizes the latest research about Stroke, including details on treatment, recovery, rehabilitation, signs, symptoms.

Long term outcome of transcranial bypass.

Srodon PD, Lumley JS

Professorial Surgical Unit, St Bartholomew's Hospital, London EC1A 7BE, UK. paul.srodon@bartsandthelondon.nhs.uk

OBJECTIVES: This study examines the long term outcome of transcranial bypass in a single centre. METHODS: In a prospective study, symptoms and angiographic findings were recoded on a database for 229 consecutive transcranial bypass procedures performed in 204 patients between 1976 and 1983. One hundred and seventy-seven had carotid territory symptoms, and the predominant angiogram finding was internal carotid artery (ICA) occlusion. RESULTS: At 5 years 87% (86 patients) were free from stroke. At 20 years 83% (29 patients) were stroke free but by this time the majority had died from other cardiovascular causes and 35 were lost to follow up. CONCLUSION: Stroke is uncommon five or more years after transcranial bypass but overall survival is poor.

Published 7 March 2005 in Eur J Vasc Endovasc Surg, 29(4): 342-4.
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