Hadeishi H, Yasui N, Okamoto Y
Department of Surgical Neurology, Research Institute for Brain and Blood Vessels, Akita, Japan.
J Neurosurg. 1996 Nov;85(5):976-9. doi: 10.3171/jns.1996.85.5.0976.
Carotid ligation and vascular reconstruction following radical neck dissection were required in a patient with carotid artery rupture associated with an infected salivary fistula. An extracranial-intracranial high-flow bypass was performed using a radial arterial graft between the V3 segment of the vertebral artery and the M2 segment of the middle cerebral artery. Postoperative angiograms confirmed sufficient blood flow through the bypass graft into the ipsilateral internal carotid arterial system. No clinical signs of ischemia were observed postoperatively. This V3-M2 bypass procedure appears to be an effective means of controlling catastrophic bleeding from a ruptured carotid artery, thus allowing the wound to heal completely.
一名患有与感染性唾液瘘相关的颈动脉破裂患者，在根治性颈清扫术后需要进行颈动脉结扎和血管重建。使用桡动脉移植物在椎动脉V3段和大脑中动脉M2段之间进行了颅外-颅内高流量旁路手术。术后血管造影证实有足够的血流通过旁路移植物进入同侧颈内动脉系统。术后未观察到缺血的临床体征。这种V3-M2旁路手术似乎是控制颈动脉破裂导致的灾难性出血的有效方法，从而使伤口能够完全愈合。
