Filatov Iu M, Shakhnovich A R, Ermekov Zh M, Inauri G A, Tissen T P
Zh Vopr Neirokhir Im N N Burdenko. 1985 Jul-Aug(4):8-13.
Clinical and angiographic examination of 20 patients with stenoses in the system of the internal carotid artery before and after operations for the formation of extra-intracranial microvascular anastomoses (EICMA), and during EICMA functioning demonstrated the evolution of the stenoses. It was characterized both by their increase (even up to the occurrence of thrombosis) and by their regression. No evolution of the stenoses occurred when EICMA failed to function. The character of evolution of the stenosis was determined by its localization. The trend of the evolution was dependent on the etiology of the stenosis. The degree of EICMA functioning differed and was determined by the character of stenosis evolution. With the development of stenosis into thrombosis, the neurological symptom complex was characterized both by marked augmentation followed by regression as well as by the absence of any changes or positive dynamics of the neurological changes.
对20例颈内动脉系统存在狭窄的患者在进行颅外-颅内微血管吻合术（EICMA）前后以及EICMA发挥功能期间进行临床和血管造影检查，结果显示了狭窄的演变情况。其特点既有狭窄加重（甚至出现血栓形成），也有狭窄减轻。当EICMA未能发挥功能时，狭窄未出现演变。狭窄演变的特征取决于其位置。演变趋势取决于狭窄的病因。EICMA发挥功能的程度各不相同，且由狭窄演变的特征决定。随着狭窄发展为血栓形成，神经症状复合体的特点既有明显加重后减轻，也有神经功能无任何变化或呈正向动态变化。
