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经胸途径颈动脉重建术治疗大动脉炎脑缺血
引用本文:肖占祥,陈福真,杨珏,符伟国,王玉琦,蒋俊豪,郭大乔. 经胸途径颈动脉重建术治疗大动脉炎脑缺血[J]. 中国临床医学, 2002, 9(2): 131-132
作者姓名:肖占祥  陈福真  杨珏  符伟国  王玉琦  蒋俊豪  郭大乔
作者单位:1. ,海南省人民医院肝胆血管外科在中山医院,570311
2. 复旦大学附属中山医院血管外科,上海,200032
摘    要:目的:评价经胸途径颈动脉重建术治疗大动脉炎脑缺血的临床疗效。方法:总结18例患者的手术方式及疗效,本组均有颈动脉及锁骨下动脉阻塞性病变并出现严重脑缺血症状。16例升主动脉、2例主动脉弓颈动脉旁路术。结果:术后死亡3例、移植血管阻塞2例;12例术后随访平均22个月,9例症状消失或改善,移植血管累积通畅率75%(9/12)。结论:胸外途径无法重建颈动脉血流时,经胸途径颈动脉重建术是治疗大动脉炎严重脑缺血的有效手段。

关 键 词:多发性大动脉炎 脑缺血 颈动脉重建术 疗效 外科治疗

Transthoracic Reconstruction of Carotid Artery for Cerebrovascular Ischemia in Takayasu Arteritis
Xiao Zhanxiang Chen Fuzhen Yang Jue,et al.. Transthoracic Reconstruction of Carotid Artery for Cerebrovascular Ischemia in Takayasu Arteritis[J]. Chinese Journal Of Clinical Medicine, 2002, 9(2): 131-132
Authors:Xiao Zhanxiang Chen Fuzhen Yang Jue  et al.
Abstract:Objective: To evaluate the efficacy of transthoracic reconstruction of carotid arteries. Methods: Clinical data of 18 Takayasu arteritis cases with severe cerebrovascular ischemia were retrospectively analyzed. All patients had the obstructive le-sions of carotid arteries and subclavian arteries. Transthoracic bypass from acending aorta(16 cases) or aorta arch(2 cases) to one side carotid artery were performed. Results: There were 3 deaths and 2 graft occlusion postoperatively. The mean follow up period was 22 months in 12 patients. It was effetive in 9 cases. The cummulative graft patency rates were 75% (9/12). Conclusion: Transthoracic reconstruction of carotid artery is effective for severe cerebrovascular ischemia in Takayasu arteritis.
Keywords:Takayasu arteritis Cerebrovascular ischemia Reconstruction of carotid arties
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