Deruty R, Bret P, Doilon C, Pernot P, Taboada F
Neurochirurgie. 1982;28(3):223-8.
Three cases of giant aneurysm of the cervical internal carotid artery are reported. In 2 cases the aneurysm was on the left side, with a symptomatology of repeated TI A's. In 1 case the aneurysm was on the right side, with a pharyngeal symptomatology. All 3 cases were an indication of cervical internal carotid artery ligation. Prior to the carotid ligation it was thought preferable to perform an extra-intracranial arterial By-pass. The superficial temporal artery not being available, a long By-pass was performed, between the subclavian artery and a cortical artery, by means of a saphenous vein graft. In 2 cases the By-pass was angiographically patent, 11 months and 1 year postoperatively. In one case, the postoperative angiogram (3 weeks) failed to show the By-pass. The advantages and disadvantages of the procedure are discussed.
报告了3例颈内动脉巨大动脉瘤。其中2例动脉瘤位于左侧，有反复短暂性脑缺血发作（TIA）的症状。1例动脉瘤位于右侧，有咽部症状。所有3例均表明需行颈内动脉结扎术。在颈动脉结扎术前，认为最好进行颅外-颅内动脉搭桥术。由于颞浅动脉不可用，通过大隐静脉移植在锁骨下动脉和皮质动脉之间进行了长段搭桥术。2例术后11个月和1年的血管造影显示搭桥血管通畅。1例术后3周的血管造影未能显示搭桥血管。讨论了该手术的优缺点。
