方法：使用旋股外侧动脉作为中间搭桥移植物的高流量脑-心脑旁路术治疗复杂大脑中动脉动脉瘤。
How I do It: High flow EC-IC bypass for complex middle cerebral artery aneurysms using the lateral circumflex femoral artery as interposition graft.
机构信息
Division of Neurosurgery, Department of Surgery, University Health Network (UHN), Toronto, ON M5T 2S8, Canada.
Division of Plastic Surgery, Department of Surgery, University of Toronto, Toronto, Canada.
出版信息
Acta Neurochir (Wien). 2024 Nov 4;166(1):435. doi: 10.1007/s00701-024-06322-5.
BACKGROUND
High-flow bypasses with parent vessel occlusion are required for complex aneurysms originating from the ICA or MCA. Traditional graft options are the saphenous vein however, it has a higher rate of thrombus formation than an arterial graft. The radial artery is commonly used, however, tapers in its distal course and is contraindicated in some patients while the lateral circumflex femoral artery is an excellent graft vessel and easy to harvest.
METHOD
We present our technique and experience harvesting the lateral circumflex femoral artery as an alternative graft vessel for high-flow bypasses.
CONCLUSION
The lateral circumflex femoral artery is easy to harvest and is a reliable graft vessel for high-flow bypasses for complex aneurysms.
背景
对于起源于颈内动脉或大脑中动脉的复杂动脉瘤，需要进行高流量旁路手术并闭塞载瘤血管。传统的移植物选择是隐静脉，但它比动脉移植物更容易形成血栓。桡动脉虽然是常用的移植物，但在其远端会变细，在某些患者中是禁忌的，而旋股外侧动脉是一种很好的移植物血管，易于采集。
方法
我们介绍了我们采集旋股外侧动脉作为高流量旁路术的替代移植物的技术和经验。
结论
旋股外侧动脉易于采集，是复杂动脉瘤高流量旁路术的可靠移植物血管。
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