Robbins J B, Fitz-Hugh G S, Jane J A
Laryngoscope. 1976 Jul;86(7):893-902. doi: 10.1288/00005537-197607000-00001.
Arteriographic studies are utilized to illustrate the presence and document the results of arterial ligation on three intracranial carotid aneurysms. All three aneurysms resulted from trauma, surgical and otherwise, and all presented as otolaryngologic dilemmas. All were successfully controlled by a combined Otolaryngological and Neurosurgical Team employing varying combinations of intra and extra cranial arterial ligations. None developed significant neurological impairments. The two major indications for common or internal carotid ligation are the resection of neoplasm and the control or prevention of hemorrhage. Sixty percent of patients undergoing elective carotid ligation survive these procedures without evidence of neurological sequelae. This uncompromised survival is based upon the presence or rapid development of collateral circulation to the cerebrovascular bed. Further arteriographic studies are employed to illustrate the development of intra and extra cranial collateralization to the internal carotid artery after surgical interruption of the ipsilateral common carotid. The major collateral circuits demonstrated via a case report are as follows: a. from the vertebral artery to the external carotid and hence to the internal carotid; b. from the posterior communicating artery to the internal carotid; and c. from the ophthalmic artery to the internal carotid.
动脉造影研究用于说明颅内三个颈动脉瘤的存在，并记录动脉结扎的结果。所有三个动脉瘤均由外伤、手术或其他原因引起，并且均表现为耳鼻喉科的难题。所有这些均由耳鼻喉科和神经外科联合团队成功控制，该团队采用了颅内和颅外动脉结扎的不同组合。无一例出现明显的神经功能障碍。颈总动脉或颈内动脉结扎的两个主要指征是肿瘤切除以及控制或预防出血。接受择期颈动脉结扎的患者中有60%在这些手术中存活，且没有神经后遗症的证据。这种未受影响的存活率基于脑血管床侧支循环的存在或快速发展。进一步的动脉造影研究用于说明在同侧颈总动脉手术中断后，颅内和颅外向颈内动脉侧支循环的发展。通过病例报告展示的主要侧支循环如下：a. 从椎动脉到颈外动脉，进而到颈内动脉；b. 从后交通动脉到颈内动脉；c. 从眼动脉到颈内动脉。
