Wiechowski S W, Mierzecki A M
Cardiac Surgery Clinic, Pomeranian Medical Academy, Szczecin, Poland.
Eur J Vasc Surg. 1988 Apr;2(2):105-10. doi: 10.1016/s0950-821x(88)80057-4.
This study presents the results of surgery in 19 patients with cerebral ischaemia caused by an elongated internal carotid artery. Nine of them had a history of transient ischaemic attacks, eight-reversible stroke, and two-completed stroke. Angiography revealed a kink in 10 cases and a loop in 9. An aneurysm was also found in 2 cases. 8 re-implantations, 5 arterioplasties, 4 re-insertions and 2 aneurysmectomies were performed. Re-insertion was a supplementary procedure in 3 patients. There were no neurological complications, save one case of TIA. Follow-up studies during a period of 1 to 6 years revealed no recurrence of cerebral ischaemia.
本研究展示了19例因颈内动脉延长导致脑缺血患者的手术结果。其中9例有短暂性脑缺血发作史，8例为可逆性中风，2例为完全性中风。血管造影显示10例有扭结，9例有袢。另外还发现2例有动脉瘤。共进行了8次再植入术、5次动脉成形术、4次重新插入术和2次动脉瘤切除术。3例患者的重新插入术为补充手术。除1例短暂性脑缺血发作外，无神经并发症。1至6年的随访研究显示脑缺血无复发。
