Prêtre R, Mürith N
Clinique de Chirurgie Cardio-Vasculaire, Département de Chirurgie, Hôpital Cantonal Universitaire, Geneva, Switzerland.
Am Surg. 1996 Dec;62(12):981-3.
Hemorrhage from a carotido-cutaneous fistula after tumor resection may be difficult to arrest, especially if occlusion of the carotid artery produces neurological symptoms. A posterior deviation of the classical incision allows an approach to the carotid artery while local digital compression controls external hemorrhage. The fistulous tract can then be resected and the carotid axis restored with a graft via this approach. Perfusion of the brain is maintained during repair by an indwelling shunt. The details of this approach are presented.
肿瘤切除术后颈动脉 - 皮肤瘘出血可能难以止住，尤其是当颈动脉闭塞产生神经症状时。经典切口的后移可显露颈动脉，同时通过局部指压控制外部出血。然后可经此入路切除瘘管并使用移植物修复颈动脉轴。修复过程中通过留置分流管维持脑灌注。本文介绍了该入路的详细情况。
