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颅底肿瘤切除术后用于脑血运重建的颅外-颅内血管搭桥术:当前实践与创新

EC-IC bypass for cerebral revascularization following skull base tumor resection: Current practices and innovations.

作者信息

Wolfswinkel Erik M, Landau Mark J, Ravina Kristine, Kokot Niels C, Russin Jonathan J, Carey Joseph N

机构信息

Division of Plastic and Reconstructive Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California.

Neurorestoration Center, Keck School of Medicine, University of Southern California, Los Angeles, California.

出版信息

J Surg Oncol. 2018 Oct;118(5):815-825. doi: 10.1002/jso.25178. Epub 2018 Sep 9.

Abstract

Complex skull base tumors can involve critical vessels of the head and neck. To achieve a gross total resection, vessel sacrifice may be necessary. In cases where vessel sacrifice will cause symptomatic cerebral ischemia, surgical revascularization is required. The purpose of this paper is to review cerebral revascularization for skull base tumors, the indications for these procedures, outcomes, advances, and future directions.

摘要

复杂的颅底肿瘤可累及头颈部的重要血管。为实现肿瘤全切,可能需要牺牲血管。在牺牲血管会导致有症状的脑缺血的情况下,则需要进行外科血管重建。本文旨在综述针对颅底肿瘤的脑血运重建、这些手术的适应证、疗效、进展及未来方向。

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