颈动脉结扎术的安全性及其在颅内动脉瘤治疗中的作用。
Safety of carotid ligation and its role in the management of intracranial aneurysms.
作者信息
Miller J D, Jawad K, Jennett B
出版信息
J Neurol Neurosurg Psychiatry. 1977 Jan;40(1):64-72. doi: 10.1136/jnnp.40.1.64.
Abstract
By using measurements of cerebral blood flow and internal carotid artery pressure it is possible to select patients in whom carotid ligation can be performed with a very low risk of post-operative cerebral ischaemia. A study has been carried out in 100 patients comparing this method with clinical predictions of the type used in aneurysm surgery based on age of the patient, arterial hypertension, time from latest subarachnoid haemorrhage, and neurological status on a modified Botterell scale. These clinical factors were found to be of little value in predicting which patients would and would not develop cerebral ischaemia after carotid occlusion.
摘要
通过测量脑血流量和颈内动脉压力，可以挑选出那些进行颈动脉结扎术后发生脑缺血风险极低的患者。对100名患者进行了一项研究，将这种方法与动脉瘤手术中基于患者年龄、动脉高血压、距最近蛛网膜下腔出血的时间以及改良的博特雷尔量表评估的神经学状态所采用的临床预测方法进行比较。结果发现，这些临床因素在预测哪些患者在颈动脉闭塞后会发生或不会发生脑缺血方面价值不大。
相似文献
1
Safety of carotid ligation and its role in the management of intracranial aneurysms.颈动脉结扎术的安全性及其在颅内动脉瘤治疗中的作用。
J Neurol Neurosurg Psychiatry. 1977 Jan;40(1):64-72. doi: 10.1136/jnnp.40.1.64.
2
Cerebral blood flow, internal carotid artery pressure, and the EEG as a guide to the safety of carotid ligation.脑血流量、颈内动脉压力以及脑电图作为颈动脉结扎安全性的指导指标。
J Neurol Neurosurg Psychiatry. 1974 Jul;37(7):854-62. doi: 10.1136/jnnp.37.7.854.
3
Common carotid ligation for intracranial aneurysms. Results in 26 cases.颅内动脉瘤的颈总动脉结扎术。26例患者的结果。
J Neurosurg. 1970 Jan;32(1):63-73. doi: 10.3171/jns.1970.32.1.0063.
4
Observations on distal intravascular pressure changes and cerebral blood flow after common carotid artery ligation in man.人类颈总动脉结扎术后远端血管内压力变化及脑血流量的观察
J Neurol Neurosurg Psychiatry. 1971 Feb;34(1):78-81. doi: 10.1136/jnnp.34.1.78.
5
Measurement of jugular venous blood gases for prediction of brain ischaemia following carotid ligation. A comparison with direct measurements of cerebral blood flow.测量颈静脉血气以预测颈动脉结扎后脑缺血。与脑血流量直接测量结果的比较。
Eur Neurol. 1976;14(1):43-52. doi: 10.1159/000114725.
6
Carotid ligation in the treatment of ruptured intracranial aneurysms.颈动脉结扎术治疗颅内破裂动脉瘤
Vasc Surg. 1967 Sep;1(3):184-9. doi: 10.1177/153857446700100307.
7
8
Common carotid ligation for intracranial aneurysm. Follow-up study of 144 patients.颅内动脉瘤的颈总动脉结扎术。144例患者的随访研究
Vasc Surg. 1970 Jun;4(2):95-100. doi: 10.1177/153857447000400203.
9
Experiences with ligation of the common carotid artery for treatment of aneurysms of the internal carotid artery.结扎颈总动脉治疗颈内动脉动脉瘤的经验。
J Neurosurg. 1965 Sep;23(3):311-8. doi: 10.3171/jns.1965.23.3.0311.
10
[Pressure in intracranial saccular aneurysms in the presence of hypotension].[低血压状态下颅内囊状动脉瘤的压力]
Zh Vopr Neirokhir Im N N Burdenko. 1979(1):8-12.
引用本文的文献
1
Use of flow-diverting devices in fusiform vertebrobasilar giant aneurysms: a report on periprocedural course and long-term follow-up.血流导向装置在梭形椎基底动脉巨大动脉瘤中的应用：围手术期过程及长期随访报告
AJNR Am J Neuroradiol. 2014 Jul;35(7):1346-52. doi: 10.3174/ajnr.A3859. Epub 2014 Feb 27.
2
Extracranial-intracranial bypass surgery using a radial artery interposition graft for cerebrovascular diseases.使用桡动脉移植术进行颅外-颅内搭桥手术治疗脑血管疾病。
J Korean Neurosurg Soc. 2011 Sep;50(3):185-90. doi: 10.3340/jkns.2011.50.3.185. Epub 2011 Sep 30.
3
Angiographic pitfall: duplicated tapered A1 segment of the anterior cerebral artery mimicking an anterior communicating artery aneurysm.血管造影陷阱：大脑前动脉A1段重复且呈锥形，酷似前交通动脉瘤。
Interv Neuroradiol. 2011 Jun;17(2):179-82. doi: 10.1177/159101991101700206. Epub 2011 Jun 20.
4
Serial MRI of a mycotic aneurysm of the cavernous carotid artery.海绵窦段颈内动脉霉菌性动脉瘤的系列磁共振成像
Neuroradiology. 2003 Aug;45(8):546-9. doi: 10.1007/s00234-003-1021-1. Epub 2003 Jun 17.
5
Reconstruction of the middle cerebral artery after excision of a giant fusiform aneurysm.
Neurosurg Rev. 1998;21(2-3):189-93. doi: 10.1007/BF02389331.
6
Measurement of regional cerebral blood flow with H2(15)O positron emission tomography during Matas test. Report of three cases.
Acta Neurochir (Wien). 1995;135(1-2):70-7. doi: 10.1007/BF02307417.
7
De novo aneurysm formation and aneurysm growth following therapeutic carotid occlusion for intracranial internal carotid artery (ICA) aneurysms.颅内颈内动脉（ICA）动脉瘤治疗性颈动脉闭塞后的新生动脉瘤形成及动脉瘤生长。
Acta Neurochir (Wien). 1993;120(1-2):20-5. doi: 10.1007/BF02001464.
8
EEG controlled occlusion of the internal carotid artery during angiography.
Neuroradiology. 1981;22(1):19-22. doi: 10.1007/BF00344605.
9
Extracranial-intracranial arterial bypass in the treatment of inoperable giant aneurysms of the internal carotid artery. Report of a case.颅外-颅内动脉搭桥术治疗无法手术的颈内动脉巨大动脉瘤。病例报告。
Acta Neurochir (Wien). 1982;60(1-2):63-9. doi: 10.1007/BF01401751.
10
Giant cerebral aneurysms.巨大脑动脉瘤
Neurosurg Rev. 1982;5(4):117-48. doi: 10.1007/BF01742676.
本文引用的文献
1
Hypothermia, and interruption of carotid, or carotid and vertebral circulation, in the surgical management of intracranial aneurysms.低温以及在颅内动脉瘤手术治疗中阻断颈动脉或颈动脉与椎动脉循环。
J Neurosurg. 1956 Jan;13(1):1-42. doi: 10.3171/jns.1956.13.1.0001.
2
Results of the treatment of intracranial aneurysms by occlusion of the carotid artery in the neck.通过颈部颈动脉闭塞治疗颅内动脉瘤的结果。
J Neurosurg. 1966 Dec;25(6):660-704. doi: 10.3171/jns.1966.25.6.0660.
3
Pathogenesis of cerebral infarction secondary to mechanical carotid artery occlusion.机械性颈动脉闭塞继发脑梗死的发病机制。
Stroke. 1970 Jan-Feb;1(1):52-62. doi: 10.1161/01.str.1.1.52.
4
Common carotid ligation for the treatment of ruptured posterior communicating aneurysms.颈总动脉结扎术治疗破裂的后交通动脉瘤。
J Neurol Neurosurg Psychiatry. 1971 Oct;34(5):576-9. doi: 10.1136/jnnp.34.5.576.
5
Cooperative study of intracranial aneurysms and subarachnoid hemorrhage. Report on a randomized treatment study. 3. Intracranial surgery.颅内动脉瘤与蛛网膜下腔出血的合作研究。随机治疗研究报告。3. 颅内手术。
Stroke. 1974 Jul-Aug;5(4):557-601. doi: 10.1161/01.str.5.4.557.
6
Effect of carotid ligation on cerebral blood flow in baboons. 2. Response to hypoxia and haemorrhagic hypertension.颈动脉结扎对狒狒脑血流量的影响。2. 对缺氧和出血性高血压的反应。
J Neurol Neurosurg Psychiatry. 1974 May;37(5):578-84. doi: 10.1136/jnnp.37.5.578.
7
An on-line system for acquisition and processing of cerebral blood flow data.一种用于采集和处理脑血流数据的在线系统。
Comput Biol Med. 1973 Apr;3(1):55-62. doi: 10.1016/0010-4825(73)90019-x.
8
Microsurgical treatment of intracranial saccular aneurysms.
J Neurosurg. 1972 Dec;37(6):678-86. doi: 10.3171/jns.1972.37.6.0678.
9
Cerebral blood flow measurements and electroencephalograms during carotid endarterectomy.颈动脉内膜切除术期间的脑血流量测量和脑电图
J Neurosurg. 1974 Sep;41(3):310-20. doi: 10.3171/jns.1974.41.3.0310.
10
Effect of carotid ligation on cerebral blood flow in baboons. I. Response to altered arterial PCO2.颈动脉结扎对狒狒脑血流量的影响。I. 对动脉血二氧化碳分压改变的反应。
J Neurol Neurosurg Psychiatry. 1973 Oct;36(5):736-41. doi: 10.1136/jnnp.36.5.736.
Zotero 插件