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Clinical Outcome in Patients With Ischemia of Infarction in Internal Carotid Artery Distribution

Myoung C. Lee, MD; James I. Ausman, MD, PhD; Jonathan D. Geiger, MS; Richard E. Latchaw, MD; Arthur C. Klassen, MD; Shelley N. Chou, MD, PhD; Joseph A. Resch, MD

Arch Neurol. 1979;36(1):1-4.

Abstract
• The clinical outcome of our first 40 patients (six with transient ischemic attacks, 22 with mild ischemic infarctions, and 12 with moderate ischemic infarctions) treated with a superficial temporal artery-middle cerebral artery anastomosis was analyzed. All cerebral ischemias or infarctions occurred in the internal carotid artery distribution. An independent neurologist observer recorded the patient's preoperative and postoperative medical and neurological histories and objective neurological findings.

There was no operative mortality. During the period of observation (up to 36 months), four patients died of probable myocardial infarction. No patient suffered from recurrent cerebral infarction. Three patients experienced a single ischemic event postoperatively. Neurological deficits were either unchanged (21 patients) or improved (19 patients). Postoperative angiograms showed patency in 97% of the anastomoses.

Author Affiliations
From the Departments of Neurology (Drs Lee, Geiger, Klassen, and Resch), Neurosurgery (Drs Ausman and Chou), and Radiology (Dr Latchaw), University of Minnesota Hospitals, Minneapolis.

Footnotes
Accepted for publication June 13, 1978.

Read in part before the third Joint Meeting on Stroke and Cerebral Circulation, New Orleans, February 1978.

Reprint requests to Department of Neurology, University of Minnesota Hospitals, 420 Delaware St SE, Minneapolis, MN 55455 (Dr Lee).

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