Tanaka K, Nukada T, Tsuda Y, Yoneda S, Imaizumi M, Iwata Y
Angiology. 1981 Feb;32(2):128-36. doi: 10.1177/000331978103200205.
The ultrasonic Doppler technique was applied to evaluate the effect of STA-MCA anastomosis. Not only the STA itself, but also ophthalmic and major aortocranial arteries were recorded by the Doppler technique in 12 patients who had undergone STA-MCA anastomosis for internal carotid artery occlusion or stenosis. The examination was performed before, and within a month after the operation. The blood flow pattern of the STA, which had had an external carotid flow pattern, was altered to an internal carotid flow pattern by the STA-MCA bypass operation. The findings of Doppler sonograms of the STA were exactly consistent with post-operative angiograms and precisely represented the bypass patency. Among 7 patients with reverse flow direction in the ophthalmic artery before the operation, the reverse flow had decreased in 5 patients post-operatively. But no remarkable change in the ophthalmic artery was detected in the remaining 2 patients. The blood flow velocity patterns of major aortocranial arteries showed no change post-operatively.
应用超声多普勒技术评估颞浅动脉-大脑中动脉吻合术的效果。在12例因颈内动脉闭塞或狭窄而接受颞浅动脉-大脑中动脉吻合术的患者中，不仅对颞浅动脉本身，还对眼动脉和主要的主动脉-颅动脉进行了多普勒技术记录。检查在手术前和术后1个月内进行。通过颞浅动脉-大脑中动脉搭桥手术，原本具有颈外动脉血流模式的颞浅动脉的血流模式改变为颈内动脉血流模式。颞浅动脉的多普勒超声检查结果与术后血管造影完全一致，并精确显示了搭桥的通畅情况。在术前眼动脉有反向血流的7例患者中，术后有5例患者的反向血流减少。但其余2例患者的眼动脉未检测到明显变化。主要主动脉-颅动脉的血流速度模式术后无变化。
