第一章 颅外-颅内血管架桥 1
Chapter One EC-IC Bypass 1
病例一 右侧大脑中动脉梭形动脉瘤(1) 1
Case 1 Right MCA Fusiform Aneurysm(1) 1
病例二 颅内多发动脉瘤并右侧大脑中动脉狭窄 4
Case 2 Multiple Aneurysms(Right MCA and Right ACA)
and Right M1 MCA Stenosis 4
病例三 右侧大脑中动脉梭形动脉瘤(2) 6
Case 3 Right MCA Fusiform Aneurysm(2) 6
病例四 右侧大脑中动脉巨大动脉瘤 9
Case 4 Right MCA Giant Aneurysm 9
病例五 复发左侧大脑中动脉瘤(栓塞术后) 12
Case 5 Recurrent Left MCA Aneurysm after Coiling 12
病例六 基底动脉顶端巨大动脉瘤 15
Case 6 Giant Basilar Apex Aneurysm 15
病例七 左侧大脑后动脉血栓性梭形动脉瘤 18
Case 7 Left PCA Fusiform-Thrombotic Aneurysm 18
第二章 颅外-颅内嵌入桥接式血管架桥 21
Chapter Two EC-IC Bypass with Interposition Graft 21
病例一 右侧颈内动脉岩骨段海绵窦段巨大梭形动脉瘤 21
Case 1 Right Petrous and Cavernous ICA Giant Fusiform Aneurysm 21
病例二 颅内多发动脉瘤并左侧颈内动脉海绵窦瘘 24
Case 2 Multiple Aneurysms (Left ICA Cavernous Aneurysm,
Left Paraclinoid Aneurysm, Left MCA Aneurysm)
and Left Cavernous AVF 24
病例三 双侧颈内动脉海绵窦段动脉瘤 右侧颈内动脉
分叉部动脉瘤 27
Case 3 Bilateral ICA Cavernous Dolichoectatic Aneurysms and Right ICA Bifurcation Aneurysm 27
第三章 颅内-颅内端侧转接式血管架桥 31
Chapter Three IC-IC Reimplantation 31
病例一 右侧大脑中动脉巨大动脉瘤(1) 31
Case 1 Right MCA Giant Aneurysm(1) 31
病例二 右侧大脑中动脉巨大动脉瘤(2) 34
Case 2 Right MCA Giant Aneurysm(2) 34
第四章 颅内-颅内原位侧接式血管架桥 38
Chapter Four IC-IC In-Situ Bypass 38
病例一 右侧大脑前胼周-胼缘动脉宽颈破裂动脉瘤 38
Case 1 Right ACA Ruptured Aneurysm 38
病例二 复发右侧大脑中动脉梭形动脉瘤(夹闭术后) 42
Case 2 Recurrent Right MCA Fusiform Aneurysm after Clipping 42
病例三 右侧小脑后下动脉梭形动脉瘤 46
Case 3 Right PICA Fusiform Aneurysm 46
第五章 颅内-颅内端端再接式血管架桥 50
Chapter Five IC-IC Reanastomosis 50
病例一 左侧大脑中动脉小型梭形动脉瘤 50
Case 1 Left MCA Small Fusiform Aneurysm 50
病例二 左侧大脑中动脉大型夹层动脉瘤 53
Case 2 Left MCA Large Thrombotic-Dolichoectatic Aneurysm 53
病例三 左侧大脑中动脉巨大血栓性动脉瘤 55
Case 3 Left MCA Giant Thrombotic-Serpentine Aneurysm 55
病例四 左侧颈动脉C1段高位巨大动脉瘤 58
Case 4 Left C1 ICA Skull Base Giant Aneurysm 58
第六章 颅内-颅内嵌入桥接式血管架桥 61
Chapter Six IC-IC Bypass with Interposition Graft 61
病例一 复发右侧大脑前动脉A1段动脉瘤(夹闭术后) 61
Case 1 Recurrent Right A1 ACA aneurysm after Clipping 61
病例二 左侧大脑中动脉梭形动脉瘤 65
Case 2 Left MCA Fusiform Aneurysm 65
病例三 左侧大脑中动脉M2远端梭形破裂动脉瘤 67
Case 3 Left MCA Ruptured Fusiform Aneurysm 67
第七章 复合式血管架桥 70
Chapter Seven Combination Bypasses 70
病例一 右侧大脑中动脉梭形动脉瘤 70
Case 1 Right MCA Fusiform Aneurysm 70
病例二 复发右侧大脑中动脉梭形动脉瘤(夹闭术后) 73
Case 2 Recurrent Right MCA Fusiform Aneurysm after Clipping 73
病例三 复发左侧大脑中动脉多囊性动脉瘤(栓塞术后) 76
Case 3 Recurrent Left MCA Multi-Lobular Aneurysm after Coiling 76
参考文献 80
缩略词表 81