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采用桡动脉移植进行高流量旁路手术治疗海绵窦段颈内动脉瘤。

High-Flow Bypass with Radial Artery Graft for Cavernous Carotid Aneurysm.

作者信息

Kumar Ambuj, Sharma Raghavendra Kumar, Tanaka Riki, Yamada Yashuhiro, Takizawa Katsumi, Kato Yoko

机构信息

Department of Neurosurgery, NSCB Medical College, Jabalpur, Madhya Pradesh, India.

Department of Neurosurgery, AIIMS, Raipur, Chhattisgarh, India.

出版信息

Asian J Neurosurg. 2020 Aug 28;15(3):678-682. doi: 10.4103/ajns.AJNS_82_20. eCollection 2020 Jul-Sep.

DOI:10.4103/ajns.AJNS_82_20
PMID:33145227
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7591167/
Abstract

Cavernous carotid aneurysms can be managed by different surgical as well as endovascular methods. The aim of treatment is to exclude the aneurysm from circulation and maintain normal cerebral blood flow. We are reporting a case of incidentally detected CCA managed by high flow bypass with radial artery graft. We discuss the surgical technique and nuances of high flow bypass surgery.

摘要

海绵窦段颈内动脉瘤可通过不同的外科手术及血管内治疗方法进行处理。治疗的目的是使动脉瘤不再参与血液循环，并维持正常的脑血流。我们报告一例偶然发现的海绵窦段颈内动脉瘤，采用桡动脉移植行高流量搭桥术进行治疗。我们讨论了高流量搭桥手术的技术及细微之处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fc4/7591167/eee2ee1b0f57/AJNS-15-678-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fc4/7591167/360dcec30db9/AJNS-15-678-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fc4/7591167/280b8bcb01c0/AJNS-15-678-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fc4/7591167/5babd1d60fba/AJNS-15-678-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fc4/7591167/124f65a83727/AJNS-15-678-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fc4/7591167/7798c1f459a4/AJNS-15-678-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fc4/7591167/005dfb09c9d3/AJNS-15-678-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fc4/7591167/0ec1beb5e63a/AJNS-15-678-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fc4/7591167/eee2ee1b0f57/AJNS-15-678-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fc4/7591167/360dcec30db9/AJNS-15-678-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fc4/7591167/280b8bcb01c0/AJNS-15-678-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fc4/7591167/5babd1d60fba/AJNS-15-678-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fc4/7591167/124f65a83727/AJNS-15-678-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fc4/7591167/7798c1f459a4/AJNS-15-678-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fc4/7591167/005dfb09c9d3/AJNS-15-678-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fc4/7591167/0ec1beb5e63a/AJNS-15-678-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fc4/7591167/eee2ee1b0f57/AJNS-15-678-g008.jpg

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本文引用的文献

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A Retrospective Analysis of Treatment Outcomes of 40 Incidental Cavernous Carotid Aneurysms.40 例偶然发现的海绵窦段颈动脉动脉瘤治疗结果的回顾性分析。
World Neurosurg. 2019 Oct;130:e1034-e1040. doi: 10.1016/j.wneu.2019.07.071. Epub 2019 Jul 12.
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Microendoscopic Removal of Deep-Seated Brain Tumors Using Tubular Retraction System.使用管状牵开系统进行微内镜下深部脑肿瘤切除术。
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Cavernous carotid aneurysms: you can but should you?
海绵窦段颈动脉瘤：你能做，但应该做吗？
World Neurosurg. 2014 Dec;82(6):996-7. doi: 10.1016/j.wneu.2014.06.029. Epub 2014 Jun 18.
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Evolution of management strategies for cavernous carotid aneurysms: a review.海绵窦段颈内动脉瘤治疗策略的演变：综述
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Universal extracranial-intracranial graft bypass for large or giant internal carotid aneurysms: techniques and results in 38 consecutive patients.38 例连续患者的大型或巨大颈内动脉动脉瘤通用颅外-颅内架桥旁路手术：技术与结果。
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Intra-aneurysmal thrombosis as a possible cause of delayed aneurysm rupture after flow-diversion treatment.颅内动脉瘤内血栓形成可能是血流导向装置治疗后动脉瘤迟发性破裂的原因。
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