Moran J M, Reichman O H, Baker W H
Arch Surg. 1977 Dec;112(12):1424-8. doi: 10.1001/archsurg.1977.01370120014001.
Twenty patients with a combination of intracranial and extracranial cerebrovascular lesions were identified in a series comprised of 118 candidates for superficial temporal artery to middle cerebral artery (STA-MCA) bypass. Ten patients had internal carotid (ICA) occlusion and contralateral ICA stenosis, seven patients had combinations of ipsilateral lesions, usually ICA occlusion and external carotid (ECA) stenosis, and three patients had multiple lesions. Eighteen patients had a STA-MCA bypass performed; 11 of these had contralateral reconstruction for ICA stenosis, and seven had ECA stenosis corrected. Two additional patients became asymptomatic after ECA endarterectomy only and their proposed STA-MCA bypass has been postponed. There were two deaths, one early and one late. Eleven patients are asymptomatic, five are improved, one is unchanged, and one is neurologically worse.
在118例拟行颞浅动脉-大脑中动脉（STA-MCA）搭桥术的患者中，发现20例合并颅内和颅外脑血管病变。10例患者存在颈内动脉（ICA）闭塞及对侧ICA狭窄，7例患者存在同侧病变组合，通常为ICA闭塞和颈外动脉（ECA）狭窄，3例患者存在多处病变。18例患者接受了STA-MCA搭桥术；其中11例因ICA狭窄进行了对侧血管重建，7例纠正了ECA狭窄。另外2例患者仅在接受ECA内膜剥脱术后无症状，其拟行的STA-MCA搭桥术已推迟。有2例死亡，1例为早期死亡，1例为晚期死亡。11例患者无症状，5例病情改善，1例无变化，1例神经功能恶化。
