Suzuki J, Onuma T, Kayama T
Neurol Res. 1982;4(3-4):191-207. doi: 10.1080/01616412.1982.11739623.
The surgical indication and techniques of intracranial arteriovenous malformations are discussed, on the basis of 203 experiences with AVMs. A special key point in our surgical techniques is described as follows. The feeding arteries of the AVM--or the main artery at the base of the brain, which is the original source of the feeding artery--are identified and prepared, and then temporary clips are placed on these arteries to produce vascular occlusion prior to the dissection of the AVM itself. During these procedures, 20% of mannitol should be administered to prolong the permissible time of cerebral artery occlusion. The administration method of mannitol is described in detail including dose and time schedule. The new prolongation method of temporary occlusion time, for which mannitol with fluorochemicals permits longer occlusion time, is also introduced.
基于203例颅内动静脉畸形（AVM）的治疗经验，讨论了AVM的手术指征及技术。我们手术技术的一个关键点如下所述。识别并准备AVM的供血动脉——或脑底部的主要动脉，即供血动脉的原始来源，然后在AVM本身进行解剖之前，在这些动脉上放置临时夹以造成血管闭塞。在这些操作过程中，应给予20%的甘露醇以延长脑动脉闭塞的允许时间。详细描述了甘露醇的给药方法，包括剂量和时间表。还介绍了一种新的临时闭塞时间延长方法，即使用含氟化合物的甘露醇可允许更长的闭塞时间。
