Wolfe Stacey Quintero, Tummala Ramachandra P, Morcos Jacques J
Department of Neurosurgery, University of Miami, Miami, Florida 33136, USA.
Skull Base. 2005 Feb;15(1):71-82. doi: 10.1055/s-2005-868164.
Skull base tumors involving the carotid artery pose a difficult surgical challenge. The potential for bypass grafting for cerebral revascularization carries inherent risks but may aid in tumor resection and control in those who warrant carotid sacrifice but have inappropriate natural cerebrovascular reserve. We include a review of the literature discussing the indications for carotid resection as part of skull base tumor surgery, indications for cerebral revascularization, balloon test occlusion, graft types and operative technique, complications, and results.
累及颈动脉的颅底肿瘤给手术带来了艰巨挑战。用于脑血运重建的旁路移植术虽存在固有风险,但对于那些有必要牺牲颈动脉但天然脑血管储备不足的患者,可能有助于肿瘤切除及控制。我们纳入了一篇文献综述,讨论了作为颅底肿瘤手术一部分的颈动脉切除适应症、脑血运重建适应症、球囊试验闭塞、移植物类型及手术技术、并发症和结果。