Santoro A, Delfini R, Cantore G P
Department of Neurological Sciences, Rome University La Sapienza, Italy.
J Neurosurg Sci. 1990 Jan-Mar;34(1):13-5.
Surgery of the internal carotid artery and the extracranial vertebral artery is of a fundamentally preventive nature, and justifiable when intra and postoperative complications (intraoperative stroke, postoperative vessel occlusion, postoperative TIA and/or stroke) remain within very low limits (less than 5% according to major case-series'). To minimize damage to the arterial wall that could cause vessel occlusion and even neurological damage, the authors propose the use of intracranial aneurysm clips for temporary closure of the neck vessels, explaining the methods used for selection of these clips.
颈内动脉和颅外椎动脉手术本质上具有预防性,当术中及术后并发症(术中卒中、术后血管闭塞、术后短暂性脑缺血发作和/或卒中)保持在极低水平(根据主要病例系列,低于5%)时是合理的。为尽量减少可能导致血管闭塞甚至神经损伤的动脉壁损伤,作者建议使用颅内动脉瘤夹临时夹闭颈部血管,并解释了选择这些夹子的使用方法。