Ashley William W, Amin-Hanjani Sepideh, Alaraj Ali, Shin John H, Charbel Fady T
Department of Neurosurgery, University of Illinois at Chicago, Chicago, Illinois 60612, USA.
Neurosurg Focus. 2008;24(2):E20. doi: 10.3171/FOC/2008/24/2/E20.
Extracranial-intracranial bypass surgery has advanced from a mere technical feat to a procedure requiring careful patient selection and a justifiable decision-making paradigm. Currently available technologies for flow measurement in the perioperative and intraoperative setting allow a more structured and analytical approach to decision making. The purpose of this report is to review the use of flow measurement in cerebral revascularization, presenting algorithms for flow-assisted surgical planning, technique, and surveillance.
颅外-颅内搭桥手术已从单纯的技术壮举发展成为一种需要仔细筛选患者和合理决策模式的手术。目前可用于围手术期和术中血流测量的技术使得决策过程更具结构性和分析性。本报告的目的是回顾血流测量在脑血运重建中的应用,介绍血流辅助手术规划、技术和监测的算法。