Cerebral Revascularization After the Carotid Occlusion Surgery Study

What Candidates Remain, and Can We Do Better?

Timothy G. White, MD; Hussam Abou-Al-Shaar, MD; Jung Park, MD, PhD; Jeffrey Katz, MD; David J. Langer, MD; Amir R. Dehdashti, MD

Disclosures

Neurosurg Focus. 2019;46(2) 

In This Article

Conclusions

Cerebral revascularization for nonmoyamoya symptomatic steno-occlusive cerebrovascular disease has not been shown to provide clinical benefit, but remains an effective and safe option as rescue therapy in patients in whom conventional medical therapy alone has failed. However, this should only be practiced at high-volume centers with specialized staff and experienced surgeons.

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