Morimoto T, Sakaki T, Kakizaki T, Takemura K, Kyoi K, Utsumi S
Department of Neurosurgery, Nara Medical University, Japan.
Surg Neurol. 1988 Oct;30(4):293-7. doi: 10.1016/0090-3019(88)90302-3.
Two cases of internal carotid aneurysms, trapped and bypassed, by means of radial artery grafts are discussed. Neither case has permanent neurological deficit possibly because of an adequate blood supply via the radial artery graft bypass. Although the radial artery graft has been in common use among cardiac surgeons, it is still rare in the neurosurgical field. The advantage of the radial artery is discussed with comparison to other graft materials such as the saphenous vein and the superficial temporal artery. In properly selected cases, the radial artery graft is useful in preventing the ischemic damage caused by an aneurysm being trapped at the main arterial trunk.
本文讨论了两例采用桡动脉移植进行颈内动脉瘤夹闭和搭桥手术的病例。两例均未出现永久性神经功能缺损，这可能得益于桡动脉移植搭桥提供了充足的血液供应。尽管桡动脉移植已在心脏外科医生中广泛应用，但在神经外科领域仍较为罕见。本文将桡动脉与其他移植材料（如大隐静脉和颞浅动脉）进行了比较，讨论了桡动脉的优势。在适当选择的病例中，桡动脉移植有助于预防因动脉瘤夹闭在主要动脉干而导致的缺血性损伤。
