Abstract:

Cerebral vascular bypass is a key method for the treatment of complex intracranial aneurysms. After nearly 60 years of exploration, its application range now covers the whole cerebral vascular region. With the advent of detachable coils and the mature application of related assistance techniques, endovascular intervention treatment is highly favored in the treatment of routine intracranial aneurysms due to its minimally invasive and rapid characteristics. The introduction of flow diverter (FD) has further ushered in a new era in the treatment of intracranial aneurysms. This article reviews the history and development of cerebral vascular bypass in the treatment of intracranial aneurysms, elaborates on the application and promotion of flow diverter, and discusses the limitations of endovascular intervention treatment in the flow diversion era. It also explores the application and prospects of a comprehensive cerebral vascular bypass system, reaffirming the application value of the whole-region cerebral vascular bypass technique.

Key words: Intracranial aneurysm, Cerebral revascularization, Flow diverter (not in MeSH), Review

摘要：

脑血管搭桥术是复杂颅内动脉瘤的主要治疗方法，经过近60年的探索，其应用范围已覆盖颅内全区域。随着可解脱弹簧圈的问世及相关辅助技术的成熟应用，血管内治疗因其微侵袭和快速的特点在常规动脉瘤的治疗中备受青睐，血流导向装置的引入更是开启动脉瘤治疗的新时代。本文回顾脑血管搭桥术治疗动脉瘤的历史和发展，阐述血流导向装置的应用和推广，进而讨论在血流导向时代血管内治疗的局限性以及颅内全域脑血管搭桥术的应用和展望，以重申颅内全域脑血管搭桥术的应用价值。

关键词: 颅内动脉瘤, 脑血管重建术, 血流导向装置（非MeSH词）, 综述