| 经胸途径颈动脉重建术治疗大动脉炎脑缺血 |
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| 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. |
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| 作者姓名： | 肖占祥 陈福真 杨珏 符伟国 王玉琦 蒋俊豪 郭大乔 |
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| 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 |
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| 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。
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| 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 |
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| 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. |
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| Authors: | Xiao Zhanxiang Chen Fuzhen Yang Jue |
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| 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. |
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| Keywords: | Takayasu arteritis Cerebrovascular ischemia Reconstruction of carotid arties |
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