Berguer R, Bauer R B
Arch Surg. 1976 Aug;111(8):893-6. doi: 10.1001/archsurg.1976.01360260061017.
External carotid flow may contribute a substantial amount of cerebral flow via collaterals in cases of internal carotid artery occlusion. When common and internal carotid arteries are occluded, the distal portion of the external carotid artery is kept open by collateral flow. Revascularization of the external carotid by means of a bypass graft from the subclavian artery will improve the blood flow through collateral vessels connecting the external and internal carotid territories, and thus increase the cerebral blood supply from the branches of the external carotid artery.
在颈内动脉闭塞的情况下,颈外动脉血流可通过侧支循环为大脑提供大量血流。当颈总动脉和颈内动脉闭塞时,颈外动脉远端通过侧支血流保持开放。通过锁骨下动脉旁路移植术对颈外动脉进行血运重建,将改善通过连接颈外动脉和颈内动脉区域的侧支血管的血流,从而增加来自颈外动脉分支的脑供血。