Department of Neurological Surgery, University of Washington, Seattle, Washington, USA.
World Neurosurg. 2010 Apr;73(4):317-25. doi: 10.1016/j.wneu.2010.01.025.
Side-to-Side microvascular anastomosis is a revascularization technique used to create an artificial conduit between two similar adjacent vessels. This technique is used for microsurgical clipping of aneurysms, when indicated. It is important to study the angiographic results, both immediate and long term, along with the clinical outcomes and indications of the procedure.
Fifteen patients who had this procedure over a fourteen-year period were reviewed for patency of bypass by intra-arterial digital subtraction angiography (DSA) and computed tomographic arteriograms (CTA) and their clinical outcomes were studied. The mean age of the study group was 53.4 years and mean angiographic follow up period was 14 months.
All surviving patients (14 patients) had patent anastomosis with good clinical outcomes. None of the patients developed a clinically manifested stroke due to the procedure, while one had a small asymptomatic infarct detected post operatively.
This technique is a useful and durable solution for correcting critical stenosis or complete occlusion of the vessels, while clipping intracranial aneurysms.
侧侧微血管吻合术是一种血管重建技术，用于在两个相似的相邻血管之间创建人工通道。当需要进行显微夹闭动脉瘤时，会使用这种技术。研究该手术的即时和长期血管造影结果、临床结果以及手术适应证非常重要。
回顾性分析了 14 年间接受该手术的 15 例患者，通过动脉内数字减影血管造影（DSA）和计算机断层血管造影（CTA）检查旁路通畅情况，并研究了他们的临床结果。研究组的平均年龄为 53.4 岁，平均血管造影随访时间为 14 个月。
所有存活患者（14 例）的吻合口均通畅，临床结果良好。没有患者因该手术出现明显的临床症状性卒中，而有 1 例患者术后发现小的无症状性梗死。
在夹闭颅内动脉瘤时，该技术是纠正血管严重狭窄或完全闭塞的有效且持久的解决方案。
