分期颈总动脉和颈外动脉支架植入术后的颞浅动脉至大脑中动脉分流术。

IF 3.2 2区物理与天体物理 Q2 MATERIALS SCIENCE, MULTIDISCIPLINARY

Physical Review B Pub Date : 2024-07-01 Epub Date: 2022-04-22 DOI:10.1055/a-1832-3158

Michael Mulcahy, Anna Lo Presti, Jorn Paul Van Der Veken, Brendan Steinfort, Nazih Assaad

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引用次数: 0

摘要

针对颈内动脉（ICA）闭塞性疾病的颞浅动脉（STA）至大脑中动脉（MCA）搭桥手术必然需要足够的颈外动脉（ECA）血流。因此，如果颈总动脉（CCA）闭塞，就不能进行手术搭桥。这里我们介绍两个这样的病例：一名患者颈总动脉（CCA）闭塞，另一名患者颈内动脉（ICA）闭塞和颈外动脉（ECA）狭窄。这两名患者都曾接受过药物治疗，但效果不佳，因此接受了血管成形术和 ECA 支架植入术，随后进行了 STA-MCA 搭桥术。我们描述了这些病例的临床和影像学结果，并指出了这种新方法可能存在的隐患。

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Staged Common and External Carotid Artery Stenting Followed by Superficial Temporal Artery to Middle Cerebral Artery Bypass.

Superficial temporal artery (STA) to middle cerebral artery (MCA) bypass surgery for internal carotid artery (ICA) occlusive disease necessarily requires sufficient external carotid artery (ECA) blood flow. Surgical bypass is therefore precluded if there is common carotid artery (CCA) occlusion. Here we present two such cases: one patient had a CCA occlusion and the other had an ICA occlusion and ECA stenosis. Both had failed medical management, and were therefore treated with angioplasty and stenting of the ECA, followed by STA-MCA bypass. We describe the clinical and radiologic outcomes of these cases, and remark on the potential pitfalls associated with this novel approach.

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来源期刊

Physical Review B PHYSICS, CONDENSED MATTER-

CiteScore

6.30

自引率

32.40%

发文量

4177

期刊介绍： Physical Review B (PRB) is the world’s largest dedicated physics journal, publishing approximately 100 new, high-quality papers each week. The most highly cited journal in condensed matter physics, PRB provides outstanding depth and breadth of coverage, combined with unrivaled context and background for ongoing research by scientists worldwide. PRB covers the full range of condensed matter, materials physics, and related subfields, including: -Structure and phase transitions -Ferroelectrics and multiferroics -Disordered systems and alloys -Magnetism -Superconductivity -Electronic structure, photonics, and metamaterials -Semiconductors and mesoscopic systems -Surfaces, nanoscience, and two-dimensional materials -Topological states of matter