Chmielewski H, Pakula H, Fryczkowski A
Zentralbl Neurochir. 1976;37(1):15-24.
An attempt has been made by the authors to find correlations between the collateral circulation and clinical condition in thirty-three patients suffering from occlusions of the internal and common carotid arteries. It has been found that the course of disease will be less severe when a collateral circulation is developed; also, this results in late consequences being much less severe in character. The age and general condition of the patient were found to be of major importance to the course of disease. Patients of advanced age usually do not show any appreciable improvement even in those cases where a collateral circulation has developed. Anatomical examinations showed that there existed a large number of collateral circulations between the external carotid artery and the branches of the ophthalmic artery. Playing the most important role among these branches of the external carotid artery are the maxillary and facial arteries. This has also been confirmed by the results of angiographic examinations made in vivo. Also described in this paper are rare cases of development of collateral circulations which were reported in the literature and which may be considered as contributing to the compensation of conditions characterized by the occlusion of the internal carotid artery.
作者试图在33例颈内动脉和颈总动脉闭塞患者中寻找侧支循环与临床状况之间的相关性。研究发现，当侧支循环形成时，疾病进程会较轻；此外，这也使得后期后果在性质上不那么严重。研究发现患者的年龄和一般状况对疾病进程至关重要。高龄患者即使在侧支循环已经形成的情况下通常也不会有明显改善。解剖学检查表明，颈外动脉与眼动脉分支之间存在大量侧支循环。在颈外动脉的这些分支中，上颌动脉和面动脉起着最重要的作用。这也得到了活体血管造影检查结果的证实。本文还描述了文献中报道的罕见侧支循环形成病例，这些病例可被视为有助于代偿以颈内动脉闭塞为特征的状况。
