Aggressive strategy to save the brain in a case of acute aortic dissection

Aggressive strategy to save the brain in a case of acute aortic dissection
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在急性主动脉夹层病例中采取积极的策略来挽救大脑

DOI:
10.1111/jocs.15874
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发表时间:
2021
影响因子:
1.6
通讯作者:
Minatoya Kenji
Minatoya Kenji
中科院分区:
医学4区
文献类型:
--
作者:
峯浦一貴;田中里奈;栢分秀直;山田義人;豊 洋次郎;中島大輔;大角明宏;濱路政嗣;毛受暁史;伊達洋至;Minatoya Kenji

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Sicim 等人的病例报告。是在双侧颈总动脉中放置解剖外旁路。先前类似的解剖外搭桥报告通常表明单侧搭桥。 Willis环是否不完整在急诊手术中很难判断,但从其能够可靠、快速地维持脑灌注的角度来看,作者的判断似乎是正确的。颈动脉直接灌注和解剖外搭桥是治疗脑灌注不良患者的合理策略。
The case report by Sicim et al. is the placement of extra‐anatomical bypasses in bilateral common carotid arteries. The similar previous reports of the extra‐anatomical bypass usually indicate unilateral bypass. Whether or not the Willis' circle is incomplete is difficult to judge during emergency surgery, and the authors' judgment seems to have been correct in the sense that it could maintain cerebral perfusion reliably and quickly. The direct perfusion and extra‐anatomical bypass of the carotid artery is a reasonable strategy in patients with cerebral malperfusion.
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