[头臂动脉闭塞性和狭窄性病变的外科治疗]

[Surgical treatment of occlusive and stenosing lesions of brachiocephalic arteries].

作者信息

Usachev D Iu, Serbinenko F A, Lemenev V L, Mitroshin G E, Shakhnovich V A, Lazarev V A, Lukshin V A, Shmigel'skiĭ A V, Sazonova O B, Ogurtsova A A, Churilov M V

出版信息

Zh Vopr Neirokhir Im N N Burdenko. 2003 Apr-Jun(2):2-5; discussion 6.

PMID:12851997

Abstract

The results of surgical treatment of patients with occlusive and stenosing lesions of brachiocephalic arteries implemented at Burdenko's Research Institute of Neurosurgery of the Russian Academy of Medical Sciences (RAMS) during 1999-2002 are described. A total of 164 operations were made in 128 patients. Different diagnostic methods and indications for various types of reconstructive and revascularization surgeries are under discussion. A variety of the carotid endarterectomy techniques and the conditions needed for their implementation (microsurgical equipment and intraoperative multi-modality neuromonitoring) are defined. Finally, the main complications and the methods of their prevention, correction and treatment are also described.

摘要

本文描述了俄罗斯医学科学院（RAMS）布尔坚科神经外科研究所于1999年至2002年期间对患有头臂动脉闭塞性和狭窄性病变患者进行手术治疗的结果。128例患者共进行了164次手术。文中讨论了不同的诊断方法以及各类重建和血管再通手术的适应症。明确了多种颈动脉内膜切除术技术及其实施所需的条件（显微外科设备和术中多模式神经监测）。最后，还描述了主要并发症及其预防、纠正和治疗方法。