Chevalier J M, Enon B, Cronier P, Dubin J, Pillet J
J Chir (Paris). 1981 Apr;118(4):247-52.
Rupture of a carotid artery in an infected or irradiated environment is a tragic event that frequently causes immediate death. Plain ligature, when possible, for these patients in a state of shock, leads to cerebral ischemia in 65% of cases. This can be prevented, if one operates soon enough by an extra-anatomic by-pass, avoiding the infected or irradiated area, between the subclavian artery and the homolateral carotid artery. (Study of 2 cases). Such a procedure could be used preventively when the risk for the carotid is highest (particularly septic surgery followed by irradiation).
在感染或受辐射环境中颈动脉破裂是一种常导致立即死亡的悲惨事件。对于处于休克状态的这些患者，若有可能进行单纯结扎，65%的病例会导致脑缺血。如果能尽早通过在锁骨下动脉和同侧颈动脉之间进行解剖外旁路手术，避开感染或受辐射区域，这种情况是可以预防的。（2例研究）。当颈动脉风险最高时（特别是脓毒症手术后再接受辐射），可预防性地采用这种手术方法。
