Schuster H, Koos W T, Kletter G
Neurochirurgie. 1976;22(1):91-6.
This is a report about the author's surgical experiences with extra-intracranial anastomosis. Special attention is drawn to various technical measures for avoiding postoperative complications. It seems very important to leave around the temporal superficial artery a mantle of connective tissue to preserve the vascular supply of the vessel wall and to facilitate safe manipulation of the artery. Further more the report deals with the bloodflow direction in the temporal superficial artery in relation to the middle cerebral artery- the flow should be directed to the trunk of the middle cerebral artery in order to effect an optimal perfusion of the supplying area of the middle cerebral artery. Approx. 8 to 10 mm should hold the incision in both arteries, end of temporal superficial and side of middle cerebral, to attain a wide opened junction between both arteries and to prevent obstruction. Attention is called to the risk of skin necrosis when using both, frontal and parietal branches of the temporal superficial artery. High value is set on covering the bone and dura deficiency with muscle lobe to prevent spreading and fistula of cerebral spinal fluid.
这是一篇关于作者颅外-颅内吻合手术经验的报告。特别关注了避免术后并发症的各种技术措施。在颞浅动脉周围保留一层结缔组织似乎非常重要，以维持血管壁的血供并便于对动脉进行安全操作。此外，该报告还探讨了颞浅动脉与大脑中动脉相关的血流方向——血流应导向大脑中动脉主干，以便对大脑中动脉供血区域进行最佳灌注。在颞浅动脉和大脑中动脉两端，切口应保持约8至10毫米，以实现两条动脉之间的宽开口连接并防止阻塞。需要注意使用颞浅动脉的额支和顶支时皮肤坏死的风险。高度重视用肌瓣覆盖骨和硬脑膜缺损以防止脑脊液漏出和形成瘘管。
