Jones T R, Frusha J D
South Med J. 1986 Dec;79(12):1517-20. doi: 10.1097/00007611-198612000-00012.
Carotid revascularization after cervical irradiation is often made more difficult by decreased vascularity, development of fibrosis, and loss of covering tissue by previous surgery. We present three cases to illustrate alternative approaches to carotid revascularization in these circumstances. One case describes the usual direct approach to carotid endarterectomy. The second describes a saphenous vein bypass from the subclavian artery to the internal carotid artery, while the third describes a saphenous vein carotid-carotid bypass following carotid blowout. We discuss advantages of each approach and describe characteristics of the changes that follow cervical irradiation.
颈部放疗后进行颈动脉血运重建术往往因血管减少、纤维化形成以及既往手术导致覆盖组织缺失而变得更加困难。我们展示三例病例，以说明在这些情况下进行颈动脉血运重建的替代方法。一例描述了颈动脉内膜切除术的常规直接方法。第二例描述了从锁骨下动脉到颈内动脉的大隐静脉旁路移植术，而第三例描述了颈动脉破裂后大隐静脉颈动脉-颈动脉旁路移植术。我们讨论了每种方法的优点，并描述了颈部放疗后的变化特征。
