Marandas P, Bobin S, Leridant A M, Vandenbrouck C, Cachin Y
J Otolaryngol. 1984 Feb;13(1):27-31.
The authors report the results of a series, between 1969 and 1978, of 42 patients who had received ligation to the carotid arterial trunk. In 36 patients, the ligation was performed as an emergency measure, often under extemporary circumstances, because of massive hemorrhage in individuals who had received surgery after previous radiotherapy. The complications after applying these ligatures have been catastrophic for many reasons. Fifteen rapid recurrent hemorrhages occurred, leading to the deaths of 13 patients. Twenty-two patients developed major neurological problems and 12 of these subsequently died. The third complication observed was the onset of extensive necrosis. This necrosis was the direct result of applying a ligature, as a last resort, to the carotid trunk supplying a vascular territory already compromised by previous radiotherapy and surgery. The authors propose different techniques for these subsequent ameliorating operations. They insist, particularly, on performing an arterectomy instead of simply applying a ligature to the carotid trunk.
作者报告了1969年至1978年间42例接受颈动脉干结扎术患者的系列研究结果。在36例患者中，结扎术是作为紧急措施进行的，通常是在临时情况下，因为接受过先前放疗后手术的患者出现了大量出血。由于多种原因，应用这些结扎后的并发症是灾难性的。发生了15例快速复发性出血，导致13例患者死亡。22例患者出现了严重的神经问题，其中12例随后死亡。观察到的第三个并发症是广泛坏死的发生。这种坏死是由于在先前放疗和手术已经损害的血管区域供应的颈动脉干上，作为最后手段应用结扎术的直接结果。作者提出了针对这些后续改善手术的不同技术。他们特别强调进行动脉切除术，而不是简单地对颈动脉干进行结扎。
