Spetzler R F, Selman W, Carter L P
Neurol Res. 1984 Mar-Jun;6(1-2):64-8. doi: 10.1080/01616412.1984.11739666.
Ligation of the carotid artery in the neck has become part of the surgical armamentarium for treating inaccessible or technically difficult intracranial aneurysms. Obliteration of an aneurysm by sacrificing the parent vessel has also been employed for the treatment of unclippable posterior circulation and middle cerebral artery aneurysms. Because parent vessel occlusion is not well tolerated by all individuals, the use of an extracranial-intracranial bypass has been advocated in order to improve the safety of this procedure. The purpose of this report is to detail our methods and results with the use of extracranial-intracranial bypass for the treatment of giant internal carotid and middle cerebral artery aneurysms in 35 patients and review the literature to determine the status of the use of the bypass for other intracranial aneurysms.
颈部颈动脉结扎术已成为治疗难以触及或技术上具有挑战性的颅内动脉瘤的外科手术手段之一。通过牺牲载瘤血管来闭塞动脉瘤也已被用于治疗无法夹闭的后循环和大脑中动脉动脉瘤。由于并非所有人都能很好地耐受载瘤血管闭塞，因此有人主张采用颅外-颅内旁路手术以提高该手术的安全性。本报告的目的是详细介绍我们对35例巨大颈内动脉和大脑中动脉动脉瘤采用颅外-颅内旁路手术的方法和结果，并回顾文献以确定该旁路手术用于其他颅内动脉瘤的现状。
