术中采用热清除法测量皮质血流在治疗性颈动脉结扎术中监测脑缺血的应用价值。
Usefulness of intraoperative cortical blood flow measurement by heat clearance method for monitoring cerebral ischaemia during therapeutic carotid ligation.
作者信息
Hayakawa T, Yamada K, Iwata Y, Kato A, Yoshimine T, Ushio Y, Nakatani S, Ikeda T, Mogami H
出版信息
J Neurol Neurosurg Psychiatry. 1985 Aug;48(8):819-25. doi: 10.1136/jnnp.48.8.819.
Abstract
Changes of regional cortical blood flow (rCBF) was monitored by the heat clearance method during the operation of cervical carotid ligation combined with superficial temporal artery and middle cerebral artery anastomosis for the treatment of inaccessible aneurysms of the internal carotid artery in eight patients. There were three types of rCBF responses upon closure of the internal carotid artery, with or without bypass blood flow. Based on the responses, the internal carotid artery was ligated abruptly or occluded gradually. The usefulness of the method for monitoring cerebral ischaemia for therapeutic carotid ligation is discussed.
摘要
采用热清除法监测了8例因颈内动脉近端动脉瘤难以夹闭而施行颈总动脉结扎并颞浅动脉-大脑中动脉吻合术患者术中局部脑血流量（rCBF）的变化。在阻断颈内动脉血流（无论有无旁路血流）时，rCBF反应有3种类型。根据这些反应，对颈内动脉进行了一次性结扎或逐步闭塞。文中讨论了该方法在治疗性颈动脉结扎术中监测脑缺血的实用性。
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Usefulness of intraoperative cortical blood flow measurement by heat clearance method for monitoring cerebral ischaemia during therapeutic carotid ligation.术中采用热清除法测量皮质血流在治疗性颈动脉结扎术中监测脑缺血的应用价值。
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本文引用的文献
1
Studies on carotid artery flow and pressure. Observations in 18 patients during graded occlusion of proximal carotid artery.
J Neurosurg. 1962 Nov;19:917-23. doi: 10.3171/jns.1962.19.11.0917.
2
Elective extracranial-intracranial arterial bypass in the treatment of inoperable giant aneurysms of the internal carotid artery.选择性颅外-颅内动脉搭桥术治疗不可手术的颈内动脉巨大动脉瘤。
J Neurosurg. 1980 Jul;53(1):22-7. doi: 10.3171/jns.1980.53.1.0022.
3
Treatment of intracavernous and giant carotid aneurysms by combined internal carotid ligation and extra- to intracranial bypass.
J Neurosurg. 1980 Jan;52(1):1-10. doi: 10.3171/jns.1980.52.1.0001.
4
Late complications of carotid ligation in the treatment of intracranial aneurysms.颅内动脉瘤治疗中颈动脉结扎的晚期并发症。
J Neurosurg. 1981 May;54(5):583-7. doi: 10.3171/jns.1981.54.5.0583.
5
Ischemic complications after combined internal carotid artery occlusion and extracranial-intracranial anastomosis.
Neurosurgery. 1982 May;10(5):563-70. doi: 10.1227/00006123-198205000-00003.
6
Large and giant paraclinoid aneurysms: surgical techniques, complications, and results.
Neurosurgery. 1983 Feb;12(2):153-63. doi: 10.1227/00006123-198302000-00004.
7
Thromboembolic complications after combined internal carotid ligation and extra- to-intracranial bypass.
Surg Neurol. 1984 Jan;21(1):75-9.
8
Evaluation of cross-circulation through circle of Willis using an ultrasonic Doppler technique. Part I. Comparison between blood flow velocity by ultrasonic Doppler flowmetry and angiogram.使用超声多普勒技术评估通过 Willis 环的交叉循环。第一部分。超声多普勒血流仪测量的血流速度与血管造影的比较。
Stroke. 1981 Jul-Aug;12(4):478-84. doi: 10.1161/01.str.12.4.478.
9
STA-MCA anastomosis and collateral circulation.
Neurol Med Chir (Tokyo). 1980 Jul;20(7):701-11. doi: 10.2176/nmc.20.701.
10
Results of the treatment of intracranial aneurysms by occlusion of the carotid artery in the neck.通过颈部颈动脉闭塞治疗颅内动脉瘤的结果。
J Neurosurg. 1966 Dec;25(6):660-704. doi: 10.3171/jns.1966.25.6.0660.
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