Richter W, Georgi W
Arch Otorhinolaryngol. 1977 May 31;215(3-4):241-56.
The contribution is presenting a procedure for reconstruction of cerebral blood flow after resection of the A. carotis communis and the A. carotis externa in animal experiments. The preparation in human corps will demonstrate the possibilities on anatomical points. The surgical intervention is based on the fact that we can tie up the A. carotis externa on both sides without disadvantage. On the healthy side, without formation of metastasis, we prepare the A. carotis externa from the bifurcation up to the region of the Mm. pterygoidei. There we will tie up the vessel. The vessel can be transplanted to the contralateral side via a retropharyngeal "tunnel". On this side we dissect the big vessels of the neck. There the suture will be applied to the transplanted A. carotis externa and to the stump of the A. carotis interna by end-to-end or end-to-side anastomosis. The results are documentated by angiographies and local pressure measurements during the operation.
本文介绍了在动物实验中，切除颈总动脉和颈外动脉后重建脑血流的方法。人体尸体解剖将从解剖学角度展示该方法的可行性。手术干预基于这样一个事实，即双侧结扎颈外动脉不会产生不良影响。在健康侧，在无转移形成的情况下，从颈外动脉分叉处至翼状肌区域分离颈外动脉，在此处结扎血管。该血管可通过咽后“隧道”移植至对侧。在对侧，解剖颈部大血管，通过端端或端侧吻合将移植的颈外动脉与颈内动脉残端进行缝合。手术过程中的血管造影和局部压力测量记录了手术结果。
