摘要
目的探讨经桡动脉移植颅外-内高流量搭桥治疗颅内复杂动脉瘤。方法报告先经桡动脉移植颅外-内高流量搭桥，再闭塞载瘤动脉孤立动脉瘤治疗2例颅内复杂动脉瘤，并结合文献对其手术方法、手术技巧及其适应证进行探讨。结果术后2例患者经头颅CTA和脑血管造影检查显示吻合血管通畅，动脉瘤不显影。随访10个月，第1例患者仅有轻微外展受限，第2例患者完全恢复正常。结论经桡动脉移植颅外-内高流量搭桥是治疗颅内复杂动脉瘤的有效方法。
Objective To study the role of extracranialintracranial high-flow bypass using radial artery graft in the treatment of complex intracranial aneurysms. Methods Two cases were reported. The parent arterys were occluded and the aneurysms were isolated after extracranial-intracranial high-flow bypass using radial artery grafts, We also discussed the indications, method and techniqes of the surgery according to the literatures, Results Postoperative angiography and computer tomography angiography （CTA） demonstrated that the bypasses were fluent and the aneurysms were disappeared. During the follow-up period （10 months ）, one patient had slight limitation of abductor, The other patient recovered very well, Conclusion Extracranial-intracranial high-flow bypass using radial artery is an effective method to treat complex intracranial aneurysm.
出处
《中华神经外科杂志》
CSCD
北大核心
2008年第8期583-585,共3页
Chinese Journal of Neurosurgery
关键词
颅内动脉瘤
桡动脉
高流量搭桥
血管成形术
Intracranial aneurysm
Radial artery
High-flow bypass
Revascularization
