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锁骨下动脉-大脑中动脉皮质支搭桥术后并发症

Complications after subclavian-cortical middle cerebral artery bypass.

作者信息

Collice M, Arena O, Riva M

出版信息

Neurosurgery. 1986 Apr;18(4):483-6. doi: 10.1227/00006123-198604000-00020.

DOI:10.1227/00006123-198604000-00020
PMID:3486376
Abstract

Subclavian-cortical middle cerebral artery bypass by saphenous vein interposition is an uncommon recent revascularization technique used for immediate volume flow to the brain or when donor arteries are unavailable or inadequate. We used this technique in four cases of symptomatic common carotid artery occlusion. In the last two cases, severe, reversible neurological complications occurred. We think that these complications are due to this particular technique, and more cautious indications than for traditional extra-intracranial arterial bypass are recommended.

摘要

通过大隐静脉移植进行锁骨下-皮质大脑中动脉搭桥术是一种近期不常用的血管重建技术,用于即刻增加脑血流量,或在供体动脉不可用或不足时使用。我们在4例有症状的颈总动脉闭塞病例中使用了该技术。在后两例中,出现了严重的、可逆的神经并发症。我们认为这些并发症是由这种特殊技术引起的,建议比传统的颅外动脉搭桥术有更谨慎的适应证。

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1
Complications after subclavian-cortical middle cerebral artery bypass.锁骨下动脉-大脑中动脉皮质支搭桥术后并发症
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