Heinrich P, Minda R, Freitag G
Klinik für Chirurgie, Medizinischen Akademie Magdeburg.
Z Gesamte Inn Med. 1989 Mar 15;44(6):186-8.
After a short synopsis of the at present ascertained knowledge of the anatomy and pathophysiology of the cerebral blood supply the possibilities of the vascular-surgical treatment are discussed. The desobliteration of extracranial vessels, PTA, vascular resections and appliances of bypass are no concurrent operation techniques, but such ones which are individually to be adapted. The importance of the clinical and non-invasive diagnostics is put before the digital subtraction angiography and the direct angiography. On the basis of the experience of 461 own surgical interventions the stage-conditioned diagnosis is required. Stage II of the transitory ischaemic attack is preferred. In unilocular mediastenoses the extra-intracranial anastomosis now as ever hat its qualification.
在简短概述目前已确定的脑供血解剖学和病理生理学知识之后，讨论了血管外科治疗的可能性。颅外血管再通、经皮腔内血管成形术（PTA）、血管切除术和搭桥手术并非同时进行的手术技术，而是需要根据个体情况进行调整的技术。临床和非侵入性诊断的重要性优先于数字减影血管造影和直接血管造影。根据461例自身手术干预的经验，需要进行分期诊断。短暂性脑缺血发作的II期是首选。在单房性纵隔狭窄中，颅内外吻合术一如既往地具有其适用性。
