A Case of Emergency Extracranial-Intracranial Arterial Bypass Surgery for Acute Symptomatic ICA Occlusion

The benefits of extracranial-Intracranial bypass surgery have not yet been proven, but recent studies have showed the beneficial effects in selected patients. We report a 52-year-old man who underwent an emergency EC-IC bypass surgery to prevent further progression of neurological deficits after acute ICA occlusion. After overcoming the concerns of the high surgical risk involved in acute ischemic stroke, this case shows that emergency bypass surgery may be helpful in highly select patients by improving hemodynamic compromise