Microanastomosis of temporal external artery (TEA) to middle cerebral artery (MCA) branch in 150 cases of cerebrovascular occlusive disease.

There are presented the results of control clinical examination and control angiography in a group of 150 patients with signs of cerebral ischaemic syndrome. These patients were treated by superficial temporal artery - cortical branch of middle cerebral artery microneurosurgical anastomosis. Clinical and angiographic examination was carried out shortly after operation and after an extended period since operation. On the basis of these results the question of qualification of patients for operation is discussed, as well as the risk factor. The problem of long-term patency of the anastomosis of the superficial temporal artery with medial cerebral artery is discussed. Attention is directed to the influence of haemodynamic factors in extra-intracranial circulation, to the shape and other qualities of the anastomosis. This problem is discussed on the base of laws governing the flow of fluid in tubes of varying cross-section. In the opinion of the author microneurosurgical anastomosis of the superficial temporal artery and medial cerebral artery plays a large part in prophylaxis and less in treatment of cerebral vascular incidents.