SLU Neurosurgeon Authors First Textbook on High-Flow Brain Bypass Surgery
Saleem Abdulrauf, M.D., professor of neurosurgery at SLU, is the author of the first textbook on a type of brain bypass surgery. The book, Cerebral Revascularization: Techniques in Extracranial-to-Intracranial Bypass Surgery: Expert Consult, teaches neurosurgeons about the brain bypass technique that Abdulrauf himself helped to develop.
"In many ways, the procedure is like bypass surgery for the heart," said Abdulrauf. "With a giant aneurysm involving a brain blood vessel or a tumor at the base of the skull wrapping around a blood vessel, the treatment involves the sacrifice of the diseased vessel. Before we eliminate the problem vessel, we replace it with an artery from the arm.
"We create another route for blood to flow. This is a technique that is evolving. We simply couldn't do this in the past. It's a completely new option, used for complex aneurysms and tumors deep in the base of the skull."
The foreword is written by M. Gazi Yasargil, M.D., who first developed brain bypass surgery in the 1960's in Switzerland and is considered the father of modern neurosurgery.
"This was a monumental concept when my mentor, Professor Yasargil, came up with the idea to revascularize the brain," said Abdulrauf. "He did low-flow brain bypass, using an artery from the scalp.
"What we've done since then is to use an artery from the arm, which allows much more blood flow. We call this high-flow bypass, and it allows us to replace a large vessel."
As one of only 10 medical centers in U.S. performing this procedure, Saint Louis University is at the forefront in educating surgeons about the procedure.
"Because we play such a key role in educating neurosurgeons, I'm very proud of this textbook," said Abdulrauf. "We are the leading center in the world to teach high-flow brain bypass surgery. Experienced vascular neurosurgeons from around the world come here to learn about this procedure."
The textbook is available on Amazon.com.