Schirmer M
MMW Munch Med Wochenschr. 1979 Aug 3;121(31):1009-12.
Besides purely conservative treatment and cerebrovascular surgery, the extra-intracranial bypass operation forming an end-to-end anastomosis between the superficial temporal artery and a cortical branch of the middle cerebral artery offers a neurosurgical possibility for therapy. The indications for this operation lie principally in the transitory cerebral ischemic attacks, the precursors of ischemic insults. In contrast to this the indications for the microneurosurgical vascular interventions possible in the regions supplied by the vertebral and basilar arteries cannot presently be comprehensively defined.
除了单纯的保守治疗和脑血管手术外，在颞浅动脉和大脑中动脉皮质支之间形成端对端吻合的颅外-颅内搭桥手术为治疗提供了一种神经外科手术选择。该手术的适应症主要在于短暂性脑缺血发作，即缺血性损伤的先兆。与此形成对比的是，目前尚无法全面界定在椎动脉和基底动脉供血区域可行的显微神经外科血管干预的适应症。
