使用自然形成的“帽状”颞浅动脉进行逆行搭桥术的术中评估：技术说明
Intraoperative Evaluation of Reverse Bypass Using a Naturally Formed "Bonnet" Superficial Temporal Artery: Technical Note.
作者信息
Nagm Alhusain, Horiuchi Tetsuyoshi, Hasegawa Takatoshi, Hongo Kazuhiro
机构信息
Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan; Department of Neurosurgery, Al-Azhar University Faculty of Medicine-Nasr city, Cairo, Egypt.
Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan.
出版信息
World Neurosurg. 2016 Apr;88:603-608. doi: 10.1016/j.wneu.2015.10.087. Epub 2015 Nov 5.
BACKGROUND
In reverse bypass that used a naturally formed "bonnet" superficial temporal artery, intraoperative volume flow measurement quantifies flow augmentation after revascularization, confirms flow preservation, and identifies inadvertent vessel compromise.
CASE DESCRIPTION
A 75-year-old man presented with transient ischemic attacks attributed to right internal carotid artery stenosis. He underwent successful reverse bypass via a naturally formed "bonnet" superficial temporal artery middle cerebral artery bypass. As the result of proper intraoperative volume flow evaluation, a successful reverse bypass was achieved.
CONCLUSIONS
Modification of the intraoperative stroke risk and prediction of the long-term patency after reverse bypass can be achieved by meticulous intraoperative blood flow evaluation.
背景
在使用自然形成的“帽状”颞浅动脉进行的逆行搭桥术中，术中容积流量测量可量化血运重建后的血流增加情况，确认血流保留情况，并识别意外的血管损伤。
病例描述
一名75岁男性因右侧颈内动脉狭窄出现短暂性脑缺血发作。他通过自然形成的“帽状”颞浅动脉-大脑中动脉搭桥术成功进行了逆行搭桥。由于术中进行了适当的容积流量评估，逆行搭桥术取得成功。
结论
通过细致的术中血流评估，可以改变术中中风风险并预测逆行搭桥术后的长期通畅情况。
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