Eguchi T, Mayanagi Y, Iai S, Takakura K
Surg Neurol. 1983 Feb;19(2):131-6. doi: 10.1016/0090-3019(83)90410-x.
A 48-year-old man with a multiple occlusive cerebrovascular disease involving both the carotid and the vertebrobasilar systems is reported. Faced with noneffective conservative treatment, a surgical approach was carried out. As the patient had poorly developed posterior communicating arteries, two extracranial-intracranial bypasses were performed for both the carotid and the vertebrobasilar circulations; extracranial-intracranial bypasses with interposed saphenous vein grafts between the left external carotid artery and the proximal segment of the left middle cerebral artery, and between the right external carotid artery and the proximal segment of the right posterior cerebral artery. Advantages, precautions, and techniques of this kind of bypass procedure are discussed.
报告了一名48岁患有累及颈动脉和椎基底动脉系统的多发性闭塞性脑血管疾病的男性。面对无效的保守治疗，采取了手术方法。由于患者后交通动脉发育不良，对颈动脉和椎基底动脉循环均进行了两次颅外-颅内搭桥手术；在左颈外动脉与左大脑中动脉近端之间以及右颈外动脉与右大脑后动脉近端之间使用大隐静脉移植进行颅外-颅内搭桥。讨论了这种搭桥手术的优点、注意事项和技术。
