颅外椎动脉V3段相关血管重建术进展

doi:10.3969/j.issn.1672-6731.2022.05.002

摘要/Abstract

摘要： 传统后循环搭桥术以前循环血管为供血主体，属于颅外-颅内低流量搭桥。颅外椎动脉V3段搭桥可结合复杂的颅底技术，以颅内-颅内或联合搭桥形式对后循环整体一期进行更深入的改造；不仅可作为血管搭桥术式设计的主体处理椎基底动脉系统，还可重建前循环血流。本文系统阐述V3段搭桥涉及的重要血管特点和显露方法，以及V3段各种搭桥构型的创新设计理念、疾病适应证和实际应用原则。

关键词: 脑血管重建术, 椎动脉, 综述

Abstract: Two major traditional modalities of posterior circulation revascularization are extracranial-intracranial low-flow bypass with donor arteries from anterior circulation and supply mainly for local perforators and distal vascular territories. V3 bypass characterized by profound and simultaneous vascular reconstruction of posterior circulation, achieved by intracranial-intracranial or multiple bypasses in conjunction with skull base techniques. These posterior circulation vessels not only play a pivotal role in bypass modality design for vertebrobasilar lesions, but also be implemented to revascularize the anterior circulation. In this article, we review the exposure techniques of the important related vessels, designed philosophy, indications and surgical techniques of the available innovative modalities of V3 bypass.

Key words: Cerebral revascularization, Vertebral artery, Review

王轩, 佟小光. 颅外椎动脉V3段相关血管重建术进展[J]. 中国现代神经疾病杂志, 2022, 22(5): 335-340.

WANG Xuan, TONG Xiao-guang. Vascular reconstruction related to V3 segment of extracranial vertebral artery[J]. Chinese Journal of Contemporary Neurology and Neurosurgery, 2022, 22(5): 335-340.

http://journal11.magtechjournal.com/cjcnn/CN/Y2022/V22/I5/335

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Vascular reconstruction related to V3 segment of extracranial vertebral artery

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Vascular reconstruction related to V3 segment of extracranial vertebral artery

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