계명대학교 의학도서관 Repository

폐쇄성 뇌혈관 질환의 외과적 치료

Metadata Downloads
Author(s)
임만빈손은익Man Bin YimEun Ik Son
Keimyung Author(s)
Yim, Man BinSon, Eun Ik
Department
Dept. of Neurosurgery (신경외과학)
Journal Title
대한신경외과학회지
Issued Date
1988
Volume
17
Issue
4
Abstract
The main pathophysiology of cerebral ischemia caused by occlusive cerebrovascular disease(CVD) are hemodynamic low perfusion and embolic mechanism. The main objects of surgical method for occlusive CVD are improvement of low perfusion and elimination of embolic source with surgical procedure. The causes of occlusive CVD can be devided as a atheromatous and non-atheromatous occlusion. The frequent sites of occlusion in atheromatous origin are carotid bifurcation, carotid siphon and middle cerebral artery (MCA), proximal subclavian and vertebral artery origin, vertebral artery proximal to origin of posterior inferior cerbellar artery (PICA), vertebral artery distal to origin of PICA and mid-basilar artery.
The lesions of non-atheromatous occlusive disease are extracranial internal carotid artery (ICA) aneurysm, traumatic dissection with or without false aneurysm of ICA, loops and kinks of ICA, osteophytic or traumatic vertebral artery compression, traumatic dissection with or without false aneurysm of vertebral artery and Moya Moya disease. Depend on occlusion site and disease, the surgical procedures are different. The main surgical procedures for occlusive CVD are carotid endarterectomy, extracranial-intracranial (EC-IC) bypass surgery, vertebral artery endarterectomy, vertebral artery to common carotid artery transposition, resection and end-to-end or interposition vein graft of ICA, indirect revascularization for Moya Moya disease and unroof the transverse foramen of cervical vertebra. The author reviews the surgical indication and procedure of occlusive CVD briefly.
Alternative Title
Surgical Treatment of Occlusive Cerebrovascular Disease
Keimyung Author(s)(Kor)
임만빈
손은익
Publisher
School of Medicine
Citation
임만빈 et al. (1988). 폐쇄성 뇌혈관 질환의 외과적 치료. 대한신경외과학회지, 17(4), 683–698.
Type
Article
ISSN
1225-8245
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/38918
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학)
공개 및 라이선스
  • 공개 구분공개
파일 목록

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.