Denck H, Hagmüller G W
Thoraxchir Vask Chir. 1977 Aug;25(4):302-4. doi: 10.1055/s-0028-1097049.
Surgery of the extracranial cerebral vessels nowadays under right indication and operative technique is one of the most satisfying areas of vascular surgery. Our present status of indication is shown in table 1; it should be pointed out that the classical indication is a lesion of the internal carotid artery with a Transitoric Ischemic Attack, but also in cases of progressive stroke with acute carotid occlusion the operation will be successful relentless of any time limit as long as the patient is conscious. For the extrathoracal bypass procedure we now prefer the subclavio-subclavian bypass to the formerly performed carotio-subclavian bypass.
如今，在正确的适应症和手术技术下，颅外脑血管手术是血管外科最令人满意的领域之一。我们目前的适应症情况见表1；应该指出的是，经典的适应症是伴有短暂性脑缺血发作的颈内动脉病变，但在急性颈动脉闭塞导致进行性中风的情况下，只要患者意识清醒，无论任何时间限制，手术都可能成功。对于胸外搭桥手术，我们现在更倾向于采用锁骨下-锁骨下搭桥术，而不是以前施行的颈动脉-锁骨下搭桥术。
