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Extracranial-to-intracranial bypass for complex aneurysms of internal carotid artery
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF NEUROSURGERY
- Issue:
- 11
- DOI:
- 10.3760/j.issn:1001-2346.2007.11.004
- Key Word:
- 颅内动脉瘤;血管成形术;颈内动脉;脑血管重建;颅内-外动脉搭桥术
Abstract： 目的 探讨颅内-外动脉搭桥术在复杂颈内动脉瘤治疗中的适用范围、手术方法和疗效.方法 回顾性分析33例颅内-外搭桥术临床资料,搭桥后分别采用慢性阻断颈部颈内动脉、闭塞载瘤动脉或孤立动脉瘤等.结果 术后血管造影或CTA示30例吻合血管通畅,1例吻合口狭窄伴血管痉挛,2例吻合口不通.29例通过阻断颈内动脉使动脉瘤不显影而达到治愈.29例治愈患者随访未见动脉瘤复发或破裂.结论 采用颅内-外动脉搭桥术,结合急性或慢性闭塞颈内动脉,是复杂颈内动脉瘤治疗的一种有效途径.
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