Nambu T, Mabuchi S, Itamoto K, Isu T
Department of Radiology, Kushiro Rosai Hospital.
Nihon Igaku Hoshasen Gakkai Zasshi. 1993 Mar 25;53(3):341-3.
MR angiography studies using the presaturation technique were performed in 7 patients who had received extra-intracranial (EC-IC) bypass surgery. With presaturation on the bypass vessels, disappearance of intracranial vascular signals suggests bypass effect. In our studies, good bypass effect was shown in 3 cases and poor effect in 2 cases, which correlates well to concurrent angiography. In two cases, bypass effect was shown only in a few cortical branches of MCA, but angiography confirmed recanalization of occluded internal carotid artery in one case, and growth of large network of transdural anastomoses in the other.
对7例接受颅外-颅内(EC-IC)搭桥手术的患者进行了使用预饱和技术的磁共振血管造影研究。在搭桥血管上施加预饱和时,颅内血管信号消失提示搭桥效果。在我们的研究中,3例显示出良好的搭桥效果,2例效果不佳,这与同期血管造影结果密切相关。在2例中,仅在大脑中动脉的少数皮质分支显示出搭桥效果,但血管造影证实1例闭塞的颈内动脉再通,另1例出现大量经硬膜吻合支网络的生长。