Реконструктивная хирургия брахиоцефальных артерий при хронической ишемии головного мозга
Оперативные вмешательства, направленные на восстановление или улучшение мозгового кровотока, занимают одно из основных мест в комплексном лечении ишемических нарушений мозгового кровобращения. Проведенные рандомизированные исследования по изучению результатов комплексного лечения ишемического инсульта (в Европе — European Trial of Carotid Surgery — ETCS, в Северной Америке — North American… Читать ещё >
Содержание
- Список сокращений
- Глава 1. Обзор литературы
- 1. 1. Эпидемиология, патоморфология и патогенез стенозирующих поражений магистральных артерий головного мозга
- 1. 2. Методы диагностики стенозирующих поражений и оценка резервных возможностей церебральной гемодинамики
- 1. 3. Исторические аспекты развития хирургического лечения стенозирующей и окклюзирующей патологии брахиоцефальных артерий
- 1. 4. Виды анестезии и методы защиты мозга
- 1. 5. Интраоперационный нейромониторинг
- 1. 6. Осложнения реконструктивных операций на сонных артериях
- 1. 7. Стенозирущие поражения артерий вертебро-базиллярного бассейна
- Глава 2. Диагностика стенозирующих и окклюзирующих поражений магистральных артерий головного мозга
- 2. 1. Клиническая оценка хронической церебральной ишемии
- 2. 2. Морфологическая и функциональная характеристика ишемических изменений головного мозга
- 2. 3. Выявление факторов риска
- 2. 4. Исследование состояния сосудистой системы головного мозга
- 2. 5. Методики обследований церебрального кровообращения
- Глава 3. Материал и методы
- Глава 4. Интраоперационный мультнмодальный нейромониторинг
- 4. 1. Транскраниальная допплерография
- 4. 2. Церебральная оксиметрия. 163 4.3.Электроэнцефалография
- 4. 4. Сопоставление данных различных модальностей интраоперационного мониторирования
- Глава 5. Хирургическое лечение
- 5. 1. Хирургические вмешательства на сонных артериях
- 5. 2. Хирургические вмешательства при патологических деформациях внутренних сонных артерий
- 5. 3. Хирургические вмешательства при постромботических окклюзиях внутренних сонных артерий
- 5. 4. Хирургические вмешательства на позвоночных артериях
- 5. 5. Этапное хирургическое лечение
- Глава 6. Результаты хирургического лечения
- 6. 1. Результаты операций на артериях каротидного бассейна
- 6. 2. Результаты реконструктивных операций на позвоночных артериях
- 6. 3. Использование операционного микроскопа
- 6. 4. Патоморфологическая характеристика атеросклеротических бляшек
- 6. 5. Оценка эффективности реконструктивных операций на брахиоцефальных артериях
- 6. 6. Осложнения хирургического лечения
- Заключение
- Выводы
- Список литературы
- Приложение №
- Приложение №
Список сокращений.
ССВП — соматосенсорные вызванные потенциалы
ТКУЗДГ- транскраниальная ультразвуковая допплерография
JICK — линейная скорость кровотока
ЭЭГ — электроэнцефалография
ЦО — церебральная оксиметрия
KT — компьютерная ангиография
МРТ — магнитно-резонансная томография
МР-АГ или МРА — магнитно-резонансная ангиография
ЦДС — цветное дуплексное сканирование
ВСА -внутренняя сонная артерия
ОСА — общая сонная артерия
СМА — средняя мозговая артерия
ВВШ — временный внутрипросветный шунт
ПСА — передняя соединительная артерия
ЗСА — задняя соединительная артерия
НСА — наружная сонная артерия
ПзА — позвоночная артерия
ПкА — подключичная артерия
АД — артериальное давление
МК — мозговой кровоток
ОКМ — объем крови мозга
КЭА — каротидная эндартерэктомия
ИБС — ишемическая болезнь сердца
ОНМК — острое нарушение мозгового кровообращения
ХЦИ- хроническая церебральная ишемия
ETCS — European Trial of Carotid Surgery
NASCET- North American Simptomatic Endarterectomy Trial
NIHHSS — National Institute of Health Stroke Skale rCBF (regional cerebral blood flow) — региональный мозговой кровоток
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