论文部分内容阅读
对于不能手术的颅内动脉瘤,如某些海绵窦内或颈动脉近段动脉瘤,许多权威主张在阻断颈动脉或气囊阻断试验之前作颅内外动脉(EC—IC)搭桥术以评估该术是否需要。然而对是否需要搭桥及搭桥的最佳时机尚存争议。 作者选择了92.2～93.11间的7例颈内动脉动脉瘤接受了EC一IC搭桥术和颈内动脉闭塞的患者,年龄22～72岁。4例男性,3例女性。6例为海绵窦内颈动脉瘤,伴有进行性或完全性眼肌麻痹、短暂性缺血发作及头痛,其中2例动脉瘤位于对侧海绵窦内。1例为颈内动脉前床突上一个大的梭形动脉瘤,患者表现为急性蛛网膜下腔出血及右眼视觉丧失。全部患者均接受了脑血管造影和同侧颈内动脉气囊阻断试验(30分钟)。一旦出现神
For inoperable intracranial aneurysms, such as in some cavernous sinus or proximal carotid aneurysms, many authors advocate intracranial and extra-arterial (EC-IC) bypass surgery to assess carotid or balloon occlusion before blocking the carotid or balloon occlusion Whether this technique is needed. However, the best timing for bypassing and bridging remains controversial. The authors selected patients with carotid artery aneurysms who underwent EC-IC bypass surgery and internal carotid artery occlusion between 92.2 and 93.11 years old, aged 22 to 72 years. 4 males and 3 females. 6 cases of cavernous sinus carotid aneurysm, with progressive or complete ophthalmoplegia, transient ischemic attack and headache, including 2 cases of aneurysms located in the contralateral cavernous sinus. One patient had a large fusiform aneurysm on the anterior carotid artery, with acute subarachnoid hemorrhage and visual loss of the right eye. All patients underwent cerebral angiography and ipsilateral internal carotid artery balloon occlusion (30 minutes). Once God appears