Bonnal J, Born J D, Hans P
J Neurosurg. 1985 Jan;62(1):128-31. doi: 10.3171/jns.1985.62.1.0128.
The authors describe two cases of high-flow arteriovenous malformations which illustrate a new technique to reduce the risk of brain swelling and diffuse hemorrhage during or after operation. This technique, used in the latter of the two cases, includes occlusion of the shunt, followed by the progressive tightening of a Selverstone clamp placed on the cervical internal carotid artery, lowering of the systemic arterial pressure, and the use of barbiturate anesthesia. Clamping and anesthesia are maintained for a 24-hour period after surgery.
作者描述了两例高流量动静脉畸形病例，阐述了一种可降低手术期间或术后脑肿胀和弥漫性出血风险的新技术。在两例中的后一例所采用的这项技术，包括封堵分流，随后逐步收紧置于颈内动脉的塞尔弗斯通夹，降低体动脉压，并使用巴比妥类麻醉。术后维持夹闭和麻醉24小时。
