EC-IC bypass for cerebral revascularization following skull base tumor resection: Current practices and innovations

J Surg Oncol. 2018 Oct;118(5):815-825. doi: 10.1002/jso.25178. Epub 2018 Sep 9.

Abstract

Complex skull base tumors can involve critical vessels of the head and neck. To achieve a gross total resection, vessel sacrifice may be necessary. In cases where vessel sacrifice will cause symptomatic cerebral ischemia, surgical revascularization is required. The purpose of this paper is to review cerebral revascularization for skull base tumors, the indications for these procedures, outcomes, advances, and future directions.

Keywords: bypass grafting; carotid artery; cranial base surgery; extracranial to intracranial (EC-IC) bypass; skull base surgery.

Publication types

  • Review

MeSH terms

  • Anastomosis, Surgical
  • Arteries / transplantation
  • Brain Ischemia / prevention & control*
  • Cerebral Arteries / surgery*
  • Cerebral Revascularization / methods*
  • Humans
  • Skull Base Neoplasms / surgery*
  • Veins / transplantation