《颅外-颅内动脉旁路手术：历史、现状与展望》.pdfVIP

颅外-颅内动脉旁路手术：历史、现状与展望 EXTRACRANIAL-INTRACRANIAL BYPASS SURGERY PAST, PRESENT AND FUTURE 解放军总医院神经外科 全军神经外科研究所 Dept of Neurosurg, General Hospital of PLA Institute of Neurosurg, Chinese PLA HISTORY OF BYPASS 旁路手术历史 PROCEDURES Pioneers of Bypass Procedures 旁路手术的先驱 ● Jacobson(1960)(Vermont) ● Jacobson(1960)(佛蒙得） Reconstructed carotid arteries of dogs and rabbits, achieving 重建犬和兔颈动脉，100% a 100% patency rate 通畅 ● Donaghy (Vermont) ● Donaghy (佛蒙得） Established microsurgical lab, reconstructed vessels 1mm in 建立显微神经外科实验室， diameter 重建直径1mm的血管 M.G. Yasargil His Contributions M.G.Yasargil及其贡献 ● Interest was stimulated when ● 其兴趣因一例皮层动脉取栓 he was asked to perform an 术（尚未掌握该技术）激发 embolectomy of a cortical artery, not yet mastered. ● Woringer(1963) EC/IC ● Enthusiasm to cerebral revas- 旁路手术论文的发表进一步 cularization increased after 引起其热情 the report of an EC-IC bypass ● 1964 International Congress of Neuroradiologists Drs. Sweet and Rasmussen advised him to contact prof. Donaghy 1965 Yasargil began his training in Donagh’s lab. 1964年，国际神经放射大会，Sweet 和Rasmussen 建议其与 Donaghy联 系。1965年，开始在Donaghy实验室 训练。 ● Initial attempts to interpose a ● 初始时，作CCA-股部血管 femoral vascular graft from 移植物-MCA术，但移植血 CCA to MCA. The graft would