(1)背景脑血管重建术治疗烟雾病致颅内动脉狭窄是必要的,动脉粥样硬化,或大型复杂动脉瘤.尽管已经报道了各种供体血管采集方法是安全的,没有关于每种疾病的供体血管组织学评估的报告,尽管需要血管吻合的疾病种类繁多。(2)方法颞浅动脉(STA)的病理结果,桡动脉(RA),枕动脉(OA),分析了在该机构收获的隐静脉(SV)。根据动脉瘤分类的患者,动脉粥样硬化,和烟雾病进行病理异常评估,病史,年龄,性别,吸烟,术后吻合通畅。(3)结果动脉粥样硬化38例,烟雾病15例,2006年以后,在98个供体血管(平均年龄57.2岁)中采集了30例动脉瘤。在84个STA中,11RA,2OA,和收获的1个SV动脉,71.4%有动脉粥样硬化,11.2%有解剖,10.2%有炎症。根据疾病的病理发现比例差异无统计学意义。高血压病史与供体血管的动脉粥样硬化有关。(4)结论这是第一个根据疾病对供体血管的病理表现进行组织学评价的研究。在不同情况下,指示由于手术操作引起的血管损伤的解剖结果的比例没有统计学差异。
(1) Background Cerebral revascularization is necessary to treat intracranial arterial stenosis caused by moyamoya disease, atherosclerosis, or large complex aneurysms. Although various donor vascular harvesting methods have been reported safe, there are no reports on the histological evaluation of donor vessels for each disease, despite the variety of diseases wherein vascular anastomosis is required. (2) Methods Pathological findings of the superficial temporal artery (STA), radial artery (RA), occipital artery (OA), and saphenous vein (SV) harvested at the institution were analyzed. Patients classified according to aneurysm, atherosclerosis, and moyamoya disease were assessed for pathological abnormalities, medical history, age, sex, smoking, and postoperative anastomosis patency. (3) Results There were 38 cases of atherosclerosis, 15 cases of moyamoya disease, and 30 cases of aneurysm in 98 donor vessels (mean age 57.2) taken after 2006. Of the 84 STA, 11 RA, 2 OA, and 1 SV arteries that were harvested, 71.4% had atherosclerosis, 11.2% had dissection, and 10.2% had inflammation. There was no significant difference in the proportion of pathological findings according to the disease. A history of hypertension is associated with atherosclerosis in donor vessels. (4) Conclusions This is the first study to histologically evaluate the pathological findings of donor vessels according to disease. The proportion of dissection findings indicative of vascular damage due to surgical manipulation was not statistically different between the different conditions.