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[EC-IC绕道用于内动脉的封闭]

¹Neurochirurgische Klinik, Universitätsklinikum des Saarlandes, Kirrberger Str. 90.5, 66421, Homburg/Saar, Deutschland. gerrit.fischer@uks.eu.

Radiologie (Heidelberg, Germany)

|July 15, 2024

概括

外内 (EC-IC) 绕道手术提供了一种可行的治疗方法,可以预防由动脉堵塞引起的中风. 这种手术选择可以稳定特定患者的脑血流,当其他治疗方法有限时.

科学领域:

神经外科神经外科
血管外科血管外科
脑血管疾病脑血管疾病

背景情况:

有限的替代治疗方法存在于耐药性,血液动力学显著的大脑缺血症,特别是由于内动脉封闭.
由于动脉封闭和血液动力学不稳定而导致的缺血性中风构成了重大的临床挑战.

研究的目的:

审查发展,当前的证据,迹象和外内 (EC-IC) 绕道在内动脉封闭的患者的手术技术.
在精心挑选的个体中评估EC-IC绕道作为缺血性中风的二次预防策略.

主要方法:

对EC-IC绕道用于内动脉封闭的文献的综述.
分析患者选择标准和外科手术技术.
评估结果,包括并发症率和脑输液稳定.

主要成果:

当经验丰富的外科医生对精心挑选的患者进行EC-IC绕道手术时,可以有效地稳定大脑输液.
在严格遵守指示时,该程序表明并发症率很低.
这种手术干预为特定患者队列提供了医疗管理的替代方案.

结论:

尽管医疗界正在进行辩论,但EC-IC旁路手术在内动脉封闭的情况下是预防中风的可观选择.
对于符合条件的患者,建议考虑在专门的神经血管中心进行手术治疗.

关键词:

冠状动脉闭塞的发生.大脑再血管化疗法额外内外绕道 - 额外内外绕道最少侵入性的外科手术程序.血管神经外科手术血管神经外科

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