Abstract:
The Publisher regrets that this article is an accidental duplication of an article that has already been published in Neurochirurgie, volume 70. https://doi.org/10.1016/j.neuchi.2023.101516. The duplicate article has therefore been withdrawn. The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/policies/article-withdrawal.
摘要:
椎基底动脉供血不足是一种通过大脑后循环的血流不良的疾病,供应脑干,丘脑,海马体,小脑,枕叶,内侧颞叶。椎动脉狭窄或闭塞可能会导致一系列神经症状,包括头晕,不平衡,构音障碍,甚至中风。如果有症状的患者医疗管理失败,应该考虑椎动脉血运重建.血流的恢复可能涉及经腔球囊血管成形术或支架置入;然而,某些病例可能仍需要手术干预。椎动脉血运重建手术的复杂性需要仔细考虑颅底和颈部解剖结构。本文将重点讨论在缺血性病理学背景下的椎动脉搭桥术,描述技术,解剖学上的细微差别,涉及术前计划的步骤,和术后管理。