[颈内动脉串联动脉粥样硬化狭窄患者的外科治疗]

[The surgical treatment of patients with tandem atherosclerotic stenosis of the internal carotid artery].

作者信息

Dobzhanskiĭ N V, Vereshchagin N V, Peresedov V V, Dzhibladze D N

出版信息

Zh Vopr Neirokhir Im N N Burdenko. 1994 Jan-Mar(1):13-8.

Abstract

The paper specifies indications and contraindications for brain microrevascularization and carotid endarterectomy in patients with atherosclerotic tandem stenosis of the internal carotid (IC) and provides strong evidence for the succession of their implementation. It also notes the role of tandem lesion as a factor predisposing to IC occlusion after carotid endarterectomy. It is shown that brain microrevascularization serves as the method of choice, when other correcting measures for cerebral blood flow disorders fail, and aims largely at preventing local cerebral ischemia.

摘要

该论文明确了颈内动脉（IC）动脉粥样硬化串联狭窄患者脑微血管重建术和颈动脉内膜切除术的适应症和禁忌症，并为其连续实施提供了有力证据。它还指出串联病变是颈动脉内膜切除术后IC闭塞的一个易感因素。结果表明，当针对脑血流障碍的其他纠正措施无效时，脑微血管重建术是首选方法，其主要目的是预防局部脑缺血。