Deruty R
Acta Chir Belg. 1979 Mar-Apr;78(2):85-93.
Extra-intra-cranial anastomosis introduced in 1967 by Yasargil and Donaghy consists in using a branch of the external carotid artery to anastomose it on one of the cerebral cortex. This procedure is indicated when there exists an obliterating lesion not in reach of a local technique. On clinical grounds two situations may exist: --the first is a regressive ischemic episod and the operation is then preventive; --the second is a confirmed deficit, non regressive: thecurative value of such an operation must then be discussed. The author reports his 5 year experience: 51 patients were operated amounting to 60 anastomoses. Eighty percent of the operated patients have a patent anastomosis. The operative risk is small (1 death, 1 worsening). The clinical criteria are discussed (Acta chir. belg., 1979, 78, 85-93).
1967年由亚萨吉尔（Yasargil）和多纳吉（Donaghy）引入的颅内外吻合术是利用颈外动脉的一个分支与大脑皮层的一个部位进行吻合。当存在局部技术无法触及的闭塞性病变时，可采用该手术。基于临床情况可能存在两种情形：第一种是进行性缺血发作，此时手术具有预防性；第二种是确诊的、非进行性的神经功能缺损，此时必须讨论该手术的治疗价值。作者报告了其5年的经验：51例患者接受了手术，共进行了60次吻合。80%接受手术的患者吻合口通畅。手术风险较小（1例死亡，1例病情恶化）。文中讨论了临床标准（《比利时外科学报》，1979年，78卷，85 - 93页）。
