Preview

Нейрохирургия

Расширенный поиск
Доступ открыт Открытый доступ  Доступ закрыт Только для подписчиков

ОБХОДНОЕ ШУНТИРОВАНИЕ В ЛЕЧЕНИИ ИШЕМИИ ГОЛОВНОГО МОЗГА, ОБУСЛОВЛЕННОЙ СОСУДИСТЫМ СПАЗМОМ ПОСЛЕ РАЗРЫВА АНЕВРИЗМ

Полный текст:

Аннотация

Ишемия головного мозга, обусловленная сосудистым спазмом, развивается у 33,5% пациентов, перенесших субарахноидальное кровоизлияние в результате разрыва интракраниальных аневризм, и является основной причиной ухудшения состояния или летального исхода у данной категории больных. Лечение ишемии головного мозга, вызванной сужением базальных артерий, насчитывает целый арсенал консервативных и хирургических методов, однако ни один из них не является приоритетным в улучшении состояния больных. Одним из малоизученных способов борьбы с ишемией головного мозга у пациентов с субарахноидальным кровоизлиянием является выполнение шунтирующих операций путем наложения экстра-инракраниального анастомоза (ЭИКМА). Проведен анализ 65 литературных источников, посвященных данной тематике. В настоящее время не существует определенных показаний, критериев и алгоритма применения ЭИКМА при ангиоспазме и ишемии головного мозга. Наиболее подходящими для наложения ЭИКМА пациентами представляются больные с аневризмами внутренней сонной или средней мозговой артериями с нарастающим проксимальным ангиоспазмом М1 и М2 сегментов, в первые 8 часов после появления очагового неврологического дефицита, снижением показателей перфузии в соответствующем регионе и отсутствием выраженных очагов ишемии на КТ. ЭИКМА также может рассматриваться как метод выбора в лечении ишемии головного мозга при ангиоспазме и невозможности использования эндоваскулярных методик.

Об авторе

Виктор Александрович Лукьянчиков
НИИ скорой помощи им. Н.В. Склифосовского
Россия


Список литературы

1. Gaydar B.V., Svistov D.V., Parfenov V.E., Semenyutin V.B. Transcranial Doppler sonography in neurosurgery. Saint Petersburg; Elbi; 2008: 281 pp (in Russian).

2. Gel’fenbeyn M.S. The surgical methods for prevention of ischemic complications during performance of extraintracranial microvascular anastomosis. Dr. med. sci. diss. Moscow; 1991 (in Russian).

3. Dobzhanskiy N.V. The cerebral hemodynamics and extraintracranial microvascular anastomosis at patients with occlusive diseases of carotid arteries. Dr. med. sci. diss. Moscow; 1988 (in Russian).

4. Zubkov Yu.N., Ivanova N.E., Pirskaya T.N. The clinical signs of posthemorrhagic constrictive-stenotic arteriopathy and brain ischemia at patients with cerebral aneurysms rupture. The Russian Journal of Neurosurgery. 1999; 1: 13-9 (in Russian).

5. Krivoshapkin A.L. et al. The modern surgery of cerebral aneurysms. The surgical methods for brain protection. Patologiya krovoobrashcheniya i kardiokhirurgiya. 2012; 3: 78-82 (in Russian).

6. Krivoshapkin A.L.; Fonin V.V.; Kanygin V.V.; Taranova I.I. The method for cerebral angiospasm treatment. Patent RF., N 2301084; 2003 (in Russian).

7. Krylov V.V. (ed). Surgery of cerebral aneurysms. Moscow; Novoe vremya; 2011; 1: 432 pp (in Russian).

8. Krylov V.V., Gusev S.A., Gusev A.S., Titova G.P. The cerebral angiospasm because of subarachnoid hemorrhage. Moscow; 2001: 208 pp (in Russian).

9. Lebedev V.V., Krylov V.V., Shchelkovskiy V.N. The clinical signs, diagnostics and treatment of intracranial aneurysms in acute period of hemorrhage. Moscow; 1996: 220 pp (in Russian).

10. Lebedev V.V., Evzikov G.Yu., Krylov V.V., Kuksova N.S. The diagnostics of multiple cerebral aneurysms in acute period of subarachnoid hemorrhage. Zh Vopr Neirokhir Im N N Burdenko; 1994; 2: 6-10 (in Russian).

11. Luk’yanchikov V.A., Kalandari A.A., Dalibaldyan V.A., Shestov E.V., Nakhabin O.Yu., Polunina N.A. et al. The performance of STA-MCA bypass using frameless neuronavigation system. The Russian Journal of Neurosurgery. 2014; 2: 66-73 (in Russian).

12. Spiridonov A.A., Lavrent’ev A.V., Morozov K.M., Pirtskhalaishvili Z.K. The microsurgical revascularization of carotid territory. SCCVS n.a. A.N. Bakulev RAMS; 2000: 266 pp (in Russian).

13. Usachev D.Yu., Lukshin V.A., Lubnin A.Yu., Pronin I.N., Shakhnovich V.A., Shmigel’skiy A.V. et al. The staged surgical treatment of patients with multiple stenotic and occlusive diseases of cerebral main arteries. Zh Vopr Neirokhir Im N.N. Burdenko; 2007; 1: 16-22 (in Russian).

14. Aaslid R., Huber P., Nornes H. A transcranial Doppler method in evaluation cerebral spasm // J. Neuroradiology. -1986. - Vol.28. - P. 11-16.

15. Abdulrauf S. Cerebral revascularization: technigues in extracranial-to-intracranial bypass surgery. - Philadelphia, PA: Saunders, 2011. - P. 155-160.

16. Allen G.S. at al. / Cerebral arterial spasm-- a controlled trial of nimodipine in patients with subarachnoid hemorrhage. // N Engl J Med. - 1983. - Mar 17. -Vol.308(11). - 619-24.

17. Amin-Hanjani S., Barker F.D., Charbel F.T., Connolly E.S., Morcos J.J., Thompson B.G. Extracranial-intracranial bypass for stroke - is this the end of the line or bump in the road? // Neurosurgery. - 2012. - Vol. 71. - P. 557-561

18. Amin-Hanjani S., Du X., Minarevich N. et al. The cut flow index: an intraoperative predictor of the success of extracranial-intracranial bypass for occlusive cerebrovascular disease // Neurosurgery. - 2005. - Vol. 56 - P. 75-85.

19. Andaluz N., Tomsick T.A., Tew J.M. Jr, van Loveren H.R., Yeh H.S., Zucarello M. / Indication for endovascular treatment therapy for refractory vasospasm after aneurysmal subarachnoid hemorrhage // Surg Neurol. - 2002. - Vol. 58. - P. 131-138.

20. Barker F.G. 2nd, Ogilvy C.S. Efficacy of prophylactic nimodipine for delayed ischemic deficit after subarachnoid hemorrhage: a metaanalysis. // J Neurosurg. - 1996. - Vol. Mar84(3). - P. 405-14.

21. Batjer H., Samson D. / Use of extracranial bypass in the management of symptomatic vasospasm. // Neurosurgery. - 1986. - Vol. 19. - P. 235-246

22. Benzel E.C., Kesterson L. / Extracranial-intracranial bypass surgery for the management of vasospasm after subarachnoid hemorrhage. // Surg Neurol. - 1988. - Vol. 30. - P. 231- 234

23. Boet R., Mee E. Magnesium sulfate in the management of patients with Fisher Grade 3 subarachnoid hemorrhage: a pilot study. // Neurosurgery. - 2000. - Vol. Sep; 47(3). - P. 602-6.

24. Carlson A.P., Yonas H., Chang Y.F., Nemoto E.M. // Failure of Cerebral Hemodynamic Selection in General or of Specific Positron Emission Tomography Methodology?: Carotid Occlusion Surgery Study (COSS) // Stroke. - 2011. - Vol. 42 (12). - P. 3637-3639.

25. Charpentier C., Audibert G., Guillemin F., Civit T., Bracard S., Hepner H., Picard L., Laxenaire M. C. / Multivariate Analysis of Predictors of Cerebral Vasospasm Occurrence After Aneurysmal Subarachnoid Hemorrhage // Stroke. - 1999. -Vol. 30. - P. 1402-1408

26. Claassen J., Bernardini G.L., Kreiter K., Bates J., Du Y.E., Copeland D., Conolly E.S., Mayer S.A. // Effect of cisternal and ventricular blood on risk of delayed cerebral ischemia after subarachnoid hemorrhage. The Fisher scale revisted. // Stroke. - 2001. - Vol. 32. - 2012-2020.

27. Coppens J.R., Cantando J.D., Abdulrauf S.I. // Minimally invasive superficial temporal artery to middle cerebral artery bypass through an enlarged bur hole: the use of computed tomography angiography neuronavigation in surgical planning. // J Neurosurg. - 2008. - Vol. Sep; 109(3) - P. 553-558.

28. Crowell R.M., Yasargil M.G. // End-to-side anastomosis of superficial temporal artery to middle cerebral artery branch in the dog. // Neurochirurgia. - 1973. - Vol. 16. - P. 73-77

29. Derdeyn C., Robert L., Grubb R., Powers W. // Indications for Cerebral Revascularization for Patients with Atherosclerotic Carotid Occlusion // Skull Base. - 2005. - Vol. 15 (1). - P. 7-14

30. The EC/IC Bypass Study group. The International Cooperative Study of Extracranial/Intracranial Arterial Anastomosis (EC/IC Bypass Study): methodology and entry characteristics. // Stroke. - 1985. - Vol. 16. - P. 397-406.

31. Eguchi T., Mayanagi Y., Hanamura T., Tanaka H., Ohmori K., Takakura K. // Treatment of bilateral spontaneous carotid-cavernous fistula by Hamby’s method combined with an extracranial-intracranial bypass procedure. // Neurosurgery. - 1982. - Vol. 11. - P. 706-711.

32. Fiedler J., Pib V., Skoda O., Schenk I., Schenkov V., Polkov S. // Cognitive outcome after EC-IC bypass surgery in hemodynamic cerebral ischemia // Acta Neurochir (Wien). - 2011. - Vol. 153(6). - P. 1303-11.

33. Finfer S.R., Ferch R., Morgan M.K. Barbiturate coma for severe, refractory vasospasm following subarachnoid haemorrhage. // Intensive Care Med. - 1999. - Vol. Apr; 25(4). - P. 406-9

34. Fisher C.M., Kistler J.P. , Davis J.M. The correlation of cerebral vasospasm and amount of subarachnoid blood detected by computerized cranial tomography after aneurism rupture. Cerebral Arterial Spasm. Wilkins, RH ed Baltimor. - 1980. - P. 397-408.

35. Fischer G., Stadie A., Schwandt E., et al. // Minimally invasive superficial temporal artery to middle cerebral artery bypass through a minicranitomy: benefit of three-dimensional virtual reality planning using magnetic resonance angiography // Neurosurg Focus. - 2009. - Vol. 26 (5). - P. E20.

36. Fujii K., Ikezaki K., Irikura K., Miyasaka Y., Fukui M. // The efficacy of bypass surgery for the patients with hemorrhagic moyamoya disease. // Clin Neurol Neurosurg. - 1997. - Vol. 99. - P. S194-S195

37. Gabrielsen T., Greitz T. Normal size of internal carotid, middle cerebral and anterior cerebral arteries // Acta radiologica. - 1970. - Vol. 10(1). - P. 1-10.

38. Goellner E., Slavin K.V. / Cervical spinal cord stimulation may prevent cerebral vasospasm by modulating sympathetic activity of the superior cervical ganglion at lower cervical spinal level. // Med Hypotheses. - 2009. - Vol. Sep; 73(3). - P. 410-3

39. Hijdra A., Van Gijn J., Nagelkerke N.J.D., Vermeulen M., Van Crevel H. / Prediction of delayed cerebral ischemia, rebleeding, and outcome after aneurismal subarachnoid hemorrhage. // Stroke. - 1988. - Vol. 19. - P. 1250-1256.

40. Janjua N., Mayer S.A. Cerebral vasospasm after subarachnoid hemorrhage. // Curr Opin Crit Care. - 2003. - Vol. Apr; 9(2). - P. 113-9.

41. Kaku Y., Yamashita K., Kokuzawa J., Kanou K., Tsujimoto M. // Superficial temporal artery-middle cerebral artery bypass using local anesthesia and a sedative without endotracheal general anesthesia. // J Neurosurg. - 2012. - Vol. Aug; 117(2). - P. 288-294.

42. Kassell N.F., Torner J.C. The International Cooperative Study on the timing of aneurysm surgery. // Stroke - 1984. - Vol. 15(3). - P. 560-70.

43. Kasuya H., Kawashima A., Sasahara A., Onda H., Hori T. Development of nicardipine prolonged-release implants for preventing vasospasm. // Acta Neurochir Suppl. -2001. - Vol. 77. - P. 217-20.

44. Keller E., Krayenbuhl N., Bjeljac M., and Yonekawa Y. Cerebral vasospasm: results of a structured multimodal treatment // Acta Neurochir. - 2005. - Vol. 94. - P. 65-73

45. Keyrouz S.G., Diringer M.N. Critical / Clinical review: Prevention and therapy of vasospasm in subarachnoid hemorrhage // Care. - 2007. - Vol. 11. - P. 220

46. Korosue K., Kondoh T., Ishikawa A., Suzuki H., Nagao T., Tamaki N., Matsumoto S. / Extracranial-intracranial arterial bypass in the management of symptomatic vasospasm. // Neurol Med Chir (Tokyo). - 1989. - Vol. 29. - P. 285- 291

47. Krayenbuhl N., Khan N., Cesnulis E., Imhof H.-G., Yonekawa Y. / Emergency extra-intracranial bypass surgery in the treatment of cerebral aneurysms // Acta Neurochir Suppl. - 2008. - Vol. 103. - P. 93-101

48. Krayenbuhl N., Hegner T., Yonekawa Y., Keller E. Cerebral vasospasm after subarachnoid hemorrhage: hypertensive hypervolemic hemodilution (triple-H) therapy according to new systemic hemodynamic parameters. // Acta Neurochir Suppl. - 2001. - Vol. 77. - P. 247-250

49. Miyamoto S., Japan Adult Moyamoya Trial Group: Study design for a prospective randomized trial of extracranialintracranial bypass surgery for adults with moyamoya disease and hemorrhagic onset-the Japan Adult Moyamoya Trial Group. // Neurol Med Chir. - 2004. - Vol. 44. - P. 218-219.

50. Nagao S., Irie K., Kawai., Nakamura T., Kunishio K., Matsumoto Y. // The use of mild hypothermia for patients with severe vasospasm: a preliminary report. // J Clin Neurosci. - 2003. - Vol. Mar; 10(2). - P. 208-12.

51. Olteanu-Nerbe V., Marguth F. // Extracranial-intracranial bypass Operation in basal tumors. // Neurosurg Rev. - 1982. - Vol. 5. - P. 99-105

52. Powers W., Clarke W., Grubb R., Videen T., Adams H., Derdeyn C. // Extracranial-intracranial bypass surgery for stroke prevention in hemodynamic cerebral ischemia. The carotid occlusion surgery study randomized trial // JAMA. -2011. - Vol. 306(18). - P. 1983-1992.

53. Rinkel G.J., Feigin V.L., Algra A., van den Bergh W.M., Vermeulen M., van Gijn J. / Calcium antagonist for aneurysmal subarachnoid hermorrhage. // Cochrane Database Syst Rev 25. - 2005. - CD000277

54. Rosenstein J., Batjer H.H., Samson D.S. Use of the extracranial -intracranial arterial bypass in the management of refractory vasospasm: a case report. // Neurosurgery. - 1985. - Vol. 17. - P. 474-479

55. Seiler R.W., Grolimund P., Aaslid R., Cerebral vasospasm evaluated by TC ultrasound correlated with clinical grade and CT - visualized subarachnoid hemorrhage // J. Neurosurg. -1984. - Vol.64. - P. 594-600.

56. Sen J., Belli A., Albon H., Morgan L., Petzold A., Kitchen N. Triple-H therapy in the management of aneurysmal subarachnoid haemorrhage. // Lancet Neurol. - 2003. - Vol. Oct; 2(10). - P. 614-21.

57. Shenaq S.A., Yawn D.H., Saleem A., Joswiak R., Crawford E.S. / Effect of profound hypothermia on leukocytes and platelets. // Ann Clin Lab Sci. - 1986. - Vol. 16(2). - P. 130-3

58. Stover J.F., Stocker R. Barbiturate coma may promote reversible bone marrow suppression in patients with severe isolated traumatic brain injury. // Eur J Clin Pharmacol. -1998. - Vol. Sep; 54(7). - P. 529-34.

59. Vilela M.D., Newell D.V. // Superficial temporal artery to middle cerebral artery bypass: past, present, and future// Neurosurgical Focus. - 2008. - Vol. 24(2). - P. 1-9.

60. Wanebo J., Khan N., Zabramski J., Spetzler R.F. // Moyamoya Disease. Diagnosis and Treatmant. - Thieme. - 2013. - P. 199

61. Yasargil M.G. // Microsurgery Applied To Neurosurgery. // Stuttgart: Georg Thieme. - 1969

62. Yonas H., Carlson A., Nemoto E. Carotid occlusion surgery study (COSS): failure of concept oa methodology? // Materials of XXVth International Symposium on Cerebral Blood Flow, Metabolism, and Function & Xth Intarnational Conference on Quantification of Brain Function with PET. // -Barcelona. - 2011.

63. Zuccarello M. Endothelin: the “prime suspect” in cerebral vasospasm. // Acta Neurochir Suppl. - 2001. - Vol. 77. - P. 61-5.

64. Zwienenberg-Lee M., Hartman J., Rudisill N., Muizelaar J.P. Endovascular management of cerebral vasospasm. // Neurosurgery. - 2006. - Vol. Nov; 59(5 Suppl 3). - P. 139-47

65. [электронный ресурс] // http://www.chibakenritsubyouin.jp/junkan/science/cart.html


Для цитирования:


Лукьянчиков В.А. ОБХОДНОЕ ШУНТИРОВАНИЕ В ЛЕЧЕНИИ ИШЕМИИ ГОЛОВНОГО МОЗГА, ОБУСЛОВЛЕННОЙ СОСУДИСТЫМ СПАЗМОМ ПОСЛЕ РАЗРЫВА АНЕВРИЗМ. Нейрохирургия. 2015;(1):90-96.

For citation:


Luk’Yanchikov V.A. The bypass surgery for treatment of brain ischemia because of cerebral abgiospasm after aneurysm rupture. Russian journal of neurosurgery. 2015;(1):90-96. (In Russ.)

Просмотров: 75


ISSN 1683-3295 (Print)
ISSN 2587-7569 (Online)