Marchal J C, Auque J, Kilic K, Huttin B, Heck M, Hepner H, Lepoire J
Neurochirurgie. 1987;33(1):34-7.
Seven patients with unilateral arterial carotid occlusion and contralateral arterial carotid stenosis in the neck are reported. Authors perform an extra-cranial to intra-cranial anastomosis on the occluded side prior to realize endarterectomy on the stenosed side. This policy obviates the need of an internal vascular shunt during temporary occlusion of I.C.A.
报告了7例颈部单侧颈总动脉闭塞及对侧颈总动脉狭窄的患者。作者先在闭塞侧进行颅外至颅内吻合术,然后再对狭窄侧进行动脉内膜切除术。这一策略避免了在临时阻断颈内动脉期间使用血管内分流器的必要性。