Deruty R, Bret P, Lecuire J, Lapras C, Capdeville J
Neurochirurgie. 1978;24(6):355-9.
Extra-intracranial by-pass between a branch of the external carotid artery and a branch of middle cerebral artery has been used since 1972 in the treatment of cerebral ischemia.
40 patients have been operated on (34 men and 6 women) aged from 28 to 68. Clinical data were TIA's or PRIND in 11 patients and stroke in 29 patients. The left hemisphere was involved in 25 cases and the right one in 15 cases. No patient was operated on in emergency; operation was performed after 2 or 3 weeks in most cases. The branch of external carotid artery was the superficial temporal artery in 36 patients and the occipital artery in 4 patients. As for the cerebral artery, were used the anterior temporal artery (9), the middle temporal artery (2), the posterior temporal artery (15), the angular artery (6), a frontal artery (15) and a parietal artery (1). In 8 patients, two anastomosis were performed using both branches of STA. Patency of the by-pass was confirmed in most cases by means of angiography, performed early after operation, and if possible one year later.
自1972年以来，已采用颈外动脉分支与大脑中动脉分支之间的颅内外搭桥术治疗脑缺血。
40例患者接受了手术（34例男性，6例女性），年龄在28至68岁之间。临床资料为11例短暂性脑缺血发作（TIA）或可逆性缺血性神经功能缺损（PRIND），29例为中风。左侧半球受累25例，右侧半球受累15例。无患者在急诊情况下接受手术；大多数情况下在2或3周后进行手术。36例患者颈外动脉分支为颞浅动脉，4例为枕动脉。至于脑动脉，使用了颞前动脉（9例）、颞中动脉（2例）、颞后动脉（15例）、角动脉（6例）、额动脉（15例）和顶动脉（1例）。8例患者使用颞浅动脉的两个分支进行了两次吻合。大多数情况下，通过术后早期进行的血管造影术以及如有可能在一年后进行的血管造影术确认搭桥的通畅性。
