Hiramoto Jun, Tanaka Yuichiro
Department of Neurosurgery, St. Marianna University School of Medicine.
Neurol Med Chir (Tokyo). 2014 Jun 17;54(6):507-9. doi: 10.2176/nmc.tn2012-0217. Epub 2013 Oct 11.
Kamiyama introduced a unique method of temporary cerebral revascularization using a radial artery graft (RAG) in his technical review. We tried original method with Sugita frame, and pointed out some disadvantages that include to avoid taking instruments or hands in and out, stability of hands, and unrestricted usage of brain retractors during temporary bypass between radial artery and M2 potion of middle cerebral artery (RA-M2 bypass). To solve those disadvantages, especially for Sugita head frame users, we here present a modified Kamiyama's method of temporary cerebral revascularization with the forearm elevated over the face like as hand-eyeshade posture.
神山在其技术综述中介绍了一种使用桡动脉移植物（RAG）进行临时脑血运重建的独特方法。我们尝试了使用杉田框架的原始方法，并指出了一些缺点，包括避免器械或手进出、手部稳定性以及在桡动脉与大脑中动脉M2段之间进行临时搭桥（桡动脉-M2搭桥）时脑牵开器的不受限制使用。为了解决这些缺点，特别是对于杉田头架的使用者，我们在此提出一种改良的神山临时脑血运重建方法，即将前臂抬高至面部上方，呈手遮眼姿势。
