Kakizaki T, Morimoto T, Sakaki T, Hiramatsu K, Tsunoda S, Kyoi K, Utsumi S, Inui S, Takemura K
Department of Neurosurgery, Nara Medical University, Kashihara, Japan.
No Shinkei Geka. 1988 Nov;16(12):1423-8.
Trapping and EC-IC bypass surgery was performed for two cases of internal carotid aneurysm using the radial artery as bypass material. Neither case has any permanent neurological deficit 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 saphenous vein and superficial temporal artery. In properly selected cases, the radial artery graft is efficient in preventing the ischemic damage caused by trapping of aneurysm at the main arterial trunk.
对两例颈内动脉瘤患者进行了动脉瘤夹闭和颈外动脉-颈内动脉搭桥手术，采用桡动脉作为搭桥材料。由于通过桡动脉移植搭桥提供了充足的血液供应，两例患者均未出现任何永久性神经功能缺损。尽管桡动脉移植在心脏外科医生中已普遍使用，但在神经外科领域仍较为罕见。将桡动脉与其他移植材料（如大隐静脉和颞浅动脉）进行比较，讨论了桡动脉的优势。在适当选择的病例中，桡动脉移植能有效预防因在主要动脉干处夹闭动脉瘤而导致的缺血性损伤。
