Osguthorpe J D, Hungerford G D
Arch Otolaryngol. 1984 Oct;110(10):694-6. doi: 10.1001/archotol.1984.00800360066017.
Postoperative carotid artery rupture occurs in 3% to 4.5% of head and neck resections involving a mucosal primary and radical neck dissection. Other indications for carotid sacrifice-ligation include en bloc removal of the artery with tumor, inadvertent injury during surgery, and hemorrhage from vessel erosion by unresectable tumor. The mortality and morbidity of unilateral carotid occlusion are significantly decreased when performed electively in a hydrated and normotensive patient with a normal serum hemoglobin level. Sequelae approximate 5% when adequate collateral cerebral blood flow is present. A transarterial catheter approach to the measurement of carotid artery back pressure and permanent obstruction of flow in an awake patient is presented.
在涉及黏膜原发性肿瘤和根治性颈清扫术的头颈部切除术中，术后颈动脉破裂的发生率为3%至4.5%。颈动脉牺牲性结扎的其他指征包括与肿瘤一并整块切除动脉、手术中意外损伤以及不可切除肿瘤对血管侵蚀导致的出血。对于血清血红蛋白水平正常、处于水合状态且血压正常的患者，择期进行单侧颈动脉闭塞时，其死亡率和发病率会显著降低。当存在足够的侧支脑血流时，后遗症发生率约为5%。本文介绍了一种在清醒患者中经动脉导管测量颈动脉背压和永久性血流阻塞的方法。
