对表面动脉到中脑动脉的中断与运行 sutures 头骨绕道
Eric A Grin1, Daniel D Wiggan1, Karl L Sangwon1
1Department of Neurosurgery, NYU Grossman School of Medicine, New York, New York, USA.
Operative neurosurgery (Hagerstown, Md.)
|December 6, 2024
概括
在表面动脉到中脑动脉 (STA-MCA) 旁路中运行 sutures 与中断 sutures 相比,促进更好的静脉成熟. 无论 suture 技术如何,STA-MCA 绕道手术的长期通透率仍然很高.
科学领域:
- 神经外科 神经外科
- 血管外科 血管外科
- 脑血管外科 脑血管外科
背景情况:
- 表面动脉到中脑动脉 (STA-MCA) 绕道是增加脑血流的主要手术技术.
- 运行和中断线都实现了STA-MCA瘤的高手术内通透率.
- 没有先前的研究比较了使用不同技术构建的STA-MCA瘤的长期通透性和成熟度.
研究的目的:
- 为了比较使用运行与中断线构建的STA-MCA绕道的长期通透性和静脉成熟.
- 评估技术对绕道流动和对随访血管成像的异位生长的影响.
主要方法:
- 追溯分析47个STA-MCA瘤 (来自40名患者) 随着可用的长期血管成像,在2019年1月至2024年6月期间进行.
- 运行线 (n=22) 与中断线 (n=25) 进行的解的比较.
- 使用数字减去血管造影 (DSA) 评估瘤生长和长期通透性,并审查患者人口统计和临床过程.
主要成果:
- 在跑步和中断接组之间没有观察到STA口径或长期绕道通透度的显著差异 (88.0%与100.0%的通透度,P = .380).
- 与中断接组 (23.8%) 相比,在跑步接组中 (64.3%) 显示出稳定或放大口径的解的比例显著更高 (P = .014).
- 所有患者都呈现了手术前的低 perfusion 状态,并且所有静脉瘤都在手术内得到了专利.
结论:
- 虽然这两种 suture技术的长期通透性和STA-MCA绕道的STA口径相似,但运行 sutures与改善的静脉成熟度 (扩大或稳定性) 有关.
- 需要进一步的研究来验证这些关于静脉发育成熟的发现.
- 技术的选择可能会影响静脉改造,但从长远来看,并不能影响整体绕道成功.
相关概念视频
Bone Markings
Bones have various surface features that help form joints and attach to other soft tissues. Depending on the function, bone markings are categorized into articulating projections, processes for attachment, depressions, and openings.
Articulating Projections
Articulating projections are found where two bones meet to form a joint. These structures are usually found at the ends of bones. The largest articulation is a rounded projection called the head, supported by a narrow neck at the ends of...
Articulating Projections
Articulating projections are found where two bones meet to form a joint. These structures are usually found at the ends of bones. The largest articulation is a rounded projection called the head, supported by a narrow neck at the ends of...
Cranial Bones: Superior and Posterior View
The superior view of the cranium shows the frontal and paired parietal bones.
The frontal bone is the single bone that forms the forehead. At its anterior midline, between the eyebrows, there is a slight depression called the glabella. The frontal bone also forms the supraorbital margin of the orbit. Near the middle of this margin is the supraorbital foramen, the opening that provides passage for a sensory nerve to the forehead. The frontal bone is thickened just above each supraorbital margin,...
The frontal bone is the single bone that forms the forehead. At its anterior midline, between the eyebrows, there is a slight depression called the glabella. The frontal bone also forms the supraorbital margin of the orbit. Near the middle of this margin is the supraorbital foramen, the opening that provides passage for a sensory nerve to the forehead. The frontal bone is thickened just above each supraorbital margin,...
Anastomoses
In human anatomy, anastomosis refers to a connection or opening between two things, particularly between blood vessels or other tubular structures. The term is derived from the Greek term 'anastomosis,' which means 'outlet' or 'opening.' This natural network of connections plays a critical role in the survival and functionality of the human body.
Anastomoses can be formed at arterial, venous, and lymphatic vessels.
Arterial Anastomosis: These occur between arteries. They are most common in...
Anastomoses can be formed at arterial, venous, and lymphatic vessels.
Arterial Anastomosis: These occur between arteries. They are most common in...
The Arch of Aorta
The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
Encircling the heart, the coronary arteries form a ring-like structure before...
Encircling the heart, the coronary arteries form a ring-like structure before...
Arteries of the Head and Neck
The human body's intricate network of arteries ensures that every organ system receives the necessary oxygen and nutrients for optimal function. The arterial network in the head and neck region is particularly complex, providing vital blood flow to the brain, eyes, and other critical structures. Prominent arteries in this region include the internal carotid arteries and the vertebral arteries.
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
Veins of Head and Neck
The blood drainage from the head and neck is primarily managed by three pairs of veins: the external jugular, internal jugular, and vertebral veins. The external jugular veins drain superficial scalp and face structures, passing over the sternocleidomastoid muscles to empty into the subclavian veins.
On the other hand, the vertebral veins, unlike their arterial counterparts, are not primarily responsible for brain drainage. Instead, they drain the cervical vertebrae, spinal cord, and some small...
On the other hand, the vertebral veins, unlike their arterial counterparts, are not primarily responsible for brain drainage. Instead, they drain the cervical vertebrae, spinal cord, and some small...


