Yamamoto S, Nozawa T, Aoki H, Isobe Y
Arch Surg. 1984 Dec;119(12):1426-9. doi: 10.1001/archsurg.1984.01390240064011.
In two patients with Takayasu's arteritis, severe cerebral ischemia was successfully treated by femoral to internal carotid artery bypass using a polytetrafluoroethylene (PTFE) graft through a subcutaneous tunnel. All of the arch branches were critically stenotic or occluded in both patients. The entire thoracic aorta was affected by the active inflammation process in one patient and there was marked calcification in the other patient. In these situations we hesitate to use the thoracic aorta as the donor site of bypass. Considering that Takayasu's arteritis affects the thoracic aorta and the proximal portions of its branches, the femoro-internal carotid artery bypass can be constructed without involving severely diseased vessels and can be expected to result in good cerebral revascularization.
在两名高安动脉炎患者中，通过经皮下隧道使用聚四氟乙烯（PTFE）移植物进行股动脉至颈内动脉搭桥术，成功治疗了严重的脑缺血。两名患者的所有主动脉弓分支均严重狭窄或闭塞。其中一名患者的整个胸主动脉受到活动性炎症过程的影响，另一名患者则有明显钙化。在这些情况下，我们不愿将胸主动脉作为搭桥的供体部位。考虑到高安动脉炎会影响胸主动脉及其分支的近端部分，股动脉至颈内动脉搭桥术可以在不涉及严重病变血管的情况下进行，有望实现良好的脑血运重建。
