Chinese Journal of Contemporary Neurology and Neurosurgery ›› 2024, Vol. 24 ›› Issue (1): 8-16. doi: 10.3969/j.issn.1672-6731.2024.01.003

• Synchronous Surgical Treatment for Brain and Heart • Previous Articles     Next Articles

Synchronous surgical treatment for brain and heart in the era of pan-vascular medicine

Yan-guo SHANG1, Xuan WANG1,*(), Xiao-guang TONG1, Ming-gang SHI1, Chun-hai LI2, Lian-qun WANG3   

  1. 1. Hybrid Cerebrovascular Surgery Ward, Department of Neurosurgery; Laboratory of Microneurosurgery, Tianjin Neurosurgical Institute; Clinical College of Neurology, Neurosurgery and Neurorehabilitation, Tianjin Medical University; Tianjin Key Laboratory of Cerebrovascular and Neural Degenerative Diseases; Tianjin Key Laboratory of Cerebral Revascularization and Head and Neck Neuro-Oncology for Technology Transformation, Tianjin 300350, China
    2. Department of Internal Medicine, Tianjin Huanhu Hospital (Tianjin Central Hospital for Neurosurgery and Neurology), Tianjin 300350, China
    3. Department of Cardiovascular Surgery, Tianjin Institute of Cardiovascular Disease; Tianjin Key Laboratory of Cardiovascular Emergency and Critical Care, Chest Hospital, Tianjin University, Tianjin 300222, China
  • Received:2023-12-29 Online:2024-01-25 Published:2024-01-30
  • Contact: Xuan WANG
  • Supported by:
    Tianjin "131" Innovative Talents Group Project; Science and Technology Project of Tianjin(18ZXDBSY00180); Tianjin Young Medical Experts Project; Science and Technology Project of Tianjin Health Commission(TJWJ2021MS031); Tianjin Key Medical Discipline (Specialty) Construction Project(TJYXZDXK-022A); Tianjin Key Medical Discipline (Specialty) Construction Project(TJYXZDXK-052B); Tianjin Haihe Medical Scholar Project(TJSHHYXXZ-D2-007)

泛血管医学时代“脑心同治”手术与展望

尚彦国1, 王轩1,*(), 佟小光1, 施铭岗1, 李春海2, 王联群3   

  1. 1. 300350 天津市环湖医院(天津市脑系科中心医院)神经外科复合脑血管外科病区 天津市神经外科研究所显微神经外科实验室 天津医科大学神经内外科及神经康复临床学院 天津市脑血管与神经变性重点实验室 天津市脑血流重建与头颈神经肿瘤新技术转化重点实验室
    2. 300350 天津市环湖医院(天津市脑系科中心医院)内科
    3. 300222 天津大学胸科医院心血管外科 天津市心血管病研究所 天津市心血管急危重症重点实验室
  • 通讯作者: 王轩
  • 基金资助:
    天津市“131”创新型人才团队计划项目; 天津市科技计划项目(18ZXDBSY00180); 天津市青年医学新锐计划项目; 天津市卫生健康委员会科技项目(TJWJ2021MS031); 天津市医学重点学科(专科)建设项目(TJYXZDXK-022A); 天津市医学重点学科(专科)建设项目(TJYXZDXK-052B); 天津市海河医学学者计划项目(TJSHHYXXZ-D2-007)

Abstract:

The concomitant of brain and heart diseases has progressively garnered the attention of neurosurgeons and cardiovascular surgeons, who have initiated synchronous surgical treatment for brain and heart. The concept of "pan-vascular medicine" advocates a research model and development philosophy that fosters interdisciplinary collaboration and integration. The principles of "pan-vascular medicine" serve as a crucial guiding force for the synchronous surgical treatment for brain and heart, while the latter enhances the completeness and depth of the former's theoretical framework. Presently, we persist in designing specific surgical interventions based on atherosclerosis diseases. In the future, synchronous surgical treatment for brain and heart will transcend the conventional boundaries of concurrent carotid and coronary artery surgery, and evolve towards a development axis centered on vascular reconstruction. This will thereby expand the scope of the "pan-vascular medicine" concept from a surgical standpoint.

Key words: Cerebrovascular disorders, Cardiovascular diseases, Surgical procedures, operative, Synchronous surgical treatment for brain and heart (not in MeSH), Pan-vascular medicine (not in MeSH), Vascular reconstruction (not in MeSH), Review

摘要:

“脑心共病”逐渐受到国内外神经外科和心血管内外科医师的重视,并着手开展“脑心同治”手术互为保障,“泛血管医学”概念提出多学科交叉、跨学科整合的研究模式和发展理念。泛血管医学思想对“脑心同治”手术具有重要指导意义,“脑心同治”手术又使“泛血管医学”概念更加完整与深化。现阶段坚持以动脉粥样硬化性疾病为基础进行手术实施设计,“脑心同治”手术将在未来突破传统的颈动脉与冠状动脉同期手术范畴,过渡到以血管重建为中心的发展方向,从外科手术角度扩大“泛血管医学”概念的内涵。

关键词: 脑血管障碍, 心血管疾病, 外科手术, 脑心同治(非MeSH词), 泛血管医学(非MeSH词), 血管重建(非MeSH词), 综述