Impact of cervical internal carotid clamping and radial artery graft bypass on cortical arterial perfusion pressure during craniotomy

详细信息    查看全文

• 作者：Ken Kazumata (1)
  Hiroyasu Kamiyama (2)
  Tatsuya Ishikawa (3)
  Toshitaka Nakamura (4)
  Shunsuke Terasaka (1)
  Kiyohiro Houkin (1)
  
• 关键词：Internal carotid artery ; Intracranial aneurysm ; EC–IC bypass ; Balloon test occlusion ; Cerebral perfusion pressure ; Carotid cross ; clamping
• 刊名：Neurosurgical Review
• 出版年：2014
• 出版时间：July 2014
• 年：2014
• 卷：37
• 期：3
• 页码：493-500
• 全文大小：
• 参考文献：1. Allen JW, Alastra AJG, Nelson PK (2005) Proximal intracranial internal carotid artery branches: prevalence and importance for balloon occlusion test. J Neurosurg 102:45-2 CrossRef
  2. American Society of Interventional and Therapeutic Neuroradiology (2001) Carotid artery balloon test occlusion. AJNR Am J Neuroradiol 22(8):S8–S9
  3. Amin-Hanjani S, Alaraj A, Charbel FT (2010) Flow replacement bypass for aneurysms: decision-making using intraoperative blood flow measurements. Acta Neurochir (Wien) 152(6):1021-032 CrossRef
  4. Barker DW, Jungreis CA, Horton JA, Pentheny S, Lemley T (1993) Balloon test occlusion of the internal carotid artery: change in stump pressure over 15 minutes and its correlation with xenon CT cerebral blood flow. AJNR Am J Neuroradiol 14(3):587-0
  5. Boysen G, Ladegaard-Pedersen HJ, Henriksen H, Olesen J, Paulson OB, Engell HC (1971) The effects of PaCO2 on regional cerebral blood flow and internal carotid arterial pressure during carotid clamping. Anesthesiology 35(3):286-00 CrossRef
  6. Charbel FT, Zhao M, Amin-Hanjani S, Hoffman W, Du X, Clark ME (2004) A patient-specific computer model to predict outcomes of the balloon occlusion test. J Neurosurg 101(6):977-88 CrossRef
  7. Czosnyka M, Pickard JD (2004) Monitoring and interpretation of intracranial pressure. J Neurol Neurosurg Psychiatry 75(6):813-1 CrossRef
  8. Dare AO, Chaloupka JC, Putman CM, Fayad PB, Awad IA (1998) Failure of the hypotensive provocative test during temporary balloon test occlusion of the internal carotid artery to predict delayed hemodynamic ischemia after therapeutic carotid occlusion. Surg Neurol 50(2):147-56 CrossRef
  9. Eckard DA, Purdy PD, Bonte FJ (1992) Temporary balloon occlusion of the carotid artery combined with brain blood flow imaging as a test to predict tolerance prior to permanent carotid sacrifice. AJNR Am J Neuroradiol 13(6):1565-569
  10. Fox AJ, Vi?uela F, Pelz DM, Peerless SJ, Ferguson GG, Drake CG, Debrun G (1987) Use of detachable balloons for proximal artery occlusion in the treatment of unclippable cerebral aneurysms. J Neurosurg 66(1):40-6 CrossRef
  11. Gupta DK, Young WL, Hashimoto T, Halim AX, Marshall RS, Lazar RM, Joshi S, Pile-Spellman J, Ostapkovich N (2002) Characterization of the cerebral blood flow response to balloon deflation after temporary internal carotid artery test occlusion. J Neurosurg Anesthesiol 14(2):123-29 CrossRef
  12. Hendrikse J, van der Zwan A, Ramos LM, Tulleken CA, van der Grond J (2003) Hemodynamic compensation via an excimer laser-assisted, high-flow bypass before and after therapeutic occlusion of the internal carotid artery. Neurosurgery 53(4):858-65 CrossRef
  13. Higashida RT, Hieshima GB, Halbach VV, Goto K, Dormandy B, Bell J, Cahan L, Bentson JR (1986) Intravascular detachable balloon embolization of intracranial aneurysms. Indications and techniques. Acta Radiol Suppl 369:594-96
  14. Hongo K, Horiuchi T, Nitta J, Tanaka Y, Tada T, Kobayashi S (2003) Double-insurance bypass for internal carotid artery aneurysm surgery. Neurosurgery 52(3):597-02 CrossRef
  15. Houkin K, Kamiyama H, Kuroda S, Ishikawa T, Takahashi A, Abe H (1999) Long-term patency of radial artery graft bypass for reconstruction of the internal carotid artery. Technical note. J Neurosurg 90(4):786-90 CrossRef
  16. Ishikawa T, Kamiyama H, Houkin K, Takahashi A, Iwasaki Y, Abe H (1995) Postsurgical observations of mean hemispheric cerebral blood flow with patients receiving high-flow EC–IC bypass using a radial artery graft (preliminary report, one-year observation of 10 hemispheres). Surg Neurol 43(5):500-09 CrossRef
  17. Ishikawa T, Kamiyama H, Kobayashi N, Tanikawa R, Takizawa K, Kazumata K (2005) Experience from “double-insurance bypass.-Surgical results and additional techniques to achieve complex aneurysm surgery in a safer manner. Surg Neurol 63(5):485-90 CrossRef
  18. Jawad K, Miller D, Wyper DJ, Rowan JO (1977) Measurement of CBF and carotid artery pressure compared with cerebral angiography in assessing collateral blood supply after carotid ligation. J Neurosurg 46(2):185-96 CrossRef
  19. Kaminogo M, Ochi M, Onizuka M, Takahata H, Shibata S (1999) An additional monitoring of regional cerebral oxygen saturation to HMPAO SPECT study during balloon test occlusion. Stroke 30(2):407-13 CrossRef
  20. Kato K, Tomura N, Takahashi S, Sakuma I, Sasaki K, Kitani H, Watarai J (2006) Balloon occlusion test of the internal carotid artery: correlation with stump pressure and 99mTc-HMPAO SPECT. Acta Radiol 47(10):1073-078 CrossRef
  21. Kelly JJ, Callow AD, O’Donnell TF, McBride K, Ehrenberg B, Korwin S, Welch H, Gembarowicz RM (1979) Failure of carotid stump pressures. Its incidence as a predictor for a temporary shunt during carotid endarterectomy. Arch Surg 114(12):1361-366 CrossRef
  22. Lawton MT, Hamilton MG, Morcos JJ, Spetzler RF (1996) Revascularization and aneurysm surgery: current techniques, indications, and outcome. Neurosurgery 38(1):83-4 CrossRef
  23. Leech PJ, Miller JD, Fitch W, Barker J (1974) Cerebral blood flow, internal carotid artery pressure, and the EEG as a guide to the safety of carotid ligation. J Neurol Neurosurg Psychiatry 37(7):854-62 CrossRef
  24. Linskey ME, Jungreis CA, Yonas H, Hirsch WL Jr, Sekhar LN, Horton JA, Janosky JE (1994) Stroke risk after abrupt internal carotid artery sacrifice: accuracy preoperative assessment with balloon test occlusion and stable xenon-enhanced CT. AJNR 15:829-43
  25. Marshall RS, Lazar RM, Young WL, Solomon RA, Joshi S, Duong DH, Rundek T, Pile-Spellman J (2002) Clinical utility of quantitative cerebral blood flow measurements during internal carotid artery test occlusions. Neurosurgery 50(5):996-005
  26. Monsein LH, Jeffery PJ, van Heerden BB, Szabo Z, Schwartz JR, Camargo EE, Chazaly J (1991) Assessing adequacy of collateral circulation during balloon test occlusion of the internal carotid artery with 99mTc-HMPAO SPECT. AJNR Am J Neuroradiol 12(6):1045-051
  27. Moody EB, Dawson RC 3rd, Sandler MP (1991) 99mTc-HMPAO SPECT imaging in interventional neuroradiology: validation of balloon test occlusion. AJNR Am J Neuroradiol 12(6):1043-044
  28. Murakami H, Inaba M, Nakamura A, Ushioda T (2002) Ipsilateral hyperperfusion after neck clipping of a giant internal carotid artery aneurysm. Case report. J Neurosurg 97(5):1233-236 CrossRef
  29. Okudaira Y, Arai H, Sato K (1996) Cerebral blood flow alteration by acetazolamide during carotid balloon occlusion: parameters reflecting cerebral perfusion pressure in the acetazolamide test. Stroke 27(4):617-21 CrossRef
  30. Paulson OB, Strandgaard S, Edvinsson L (1990) Cerebral autoregulation. Cerebrovasc Brain Metab Rev 2(2):161-92
  31. Raymond J, Théron J (1986) Intracavernous aneurysms: treatment by proximal balloon occlusion of the internal carotid artery. AJNR Am J Neuroradiol 7(6):1087-2
  32. Sekhar LN, Duff JM, Kalavakonda C, Olding M (2001) Cerebral revascularization using radial artery grafts for the treatment of complex intracranial aneurysms: techniques and outcomes for 17 patients. Neurosurgery 49(3):646-59
  33. Sorteberg A, Bakke SJ, Boysen M, Sorteberg W (2008) Angiographic balloon test occlusion and therapeutic sacrifice of major arteries to the brain. Neurosurgery 63(4):651-61 CrossRef
  34. Standard SC, Ahuja A, Guterman LR, Chavis TD, Gibbons KJ, Barth AP, Hopkins LN (1995) Balloon test occlusion of the internal carotid artery with hypotensive challenge. AJNR Am J Neuroradiol 16(7):1453-
  35. Steiner LA, Andrews PJ (2006) Monitoring the injured brain: ICP and CBF. Br J Anaesth 97(1):26-8
  36. Steed DL, Webster MW, DeVries EJ, Jungreis CA, Horton JA, Sehkar L, Yonas H (1990) Clinical observations on the effect of carotid artery occlusion on cerebral blood flow mapped by xenon computed tomography and its correlation with carotid artery back pressure. J Vasc Surg 11(1):38-4 CrossRef
  37. Sugawara Y, Kikuchi T, Ueda T, Nishizaki M, Nakata S, Mochizuki T, Ikezoe J (2002) Usefulness of brain SPECT to evaluate brain tolerance and hemodynamic changes during temporary balloon occlusion test and after permanent carotid occlusion. J Nucl Med 43(12):1616-623
  38. Tanaka F, Nishizawa S, Yonekura Y, Sadato N, Ishizu K, Okazawa H, Tamaki N, Nakahara I, Taki W, Konishi J (1995) Changes in cerebral blood flow induced by balloon test occlusion of the internal carotid artery under hypotension. Eur J Nucl Med 22(11):1268-273 CrossRef
  39. Tomura N, Omachi K, Takahashi S, Sakuma I, Otani T, Watarai J, Ishikawa K, Kinouchi H, Mizoi K (2005) Comparison of technetium Tc 99m hexamethylpropyleneamine oxime single-photon emission tomograph with stump pressure during the balloon occlusion test of the internal carotid artery. AJNR Am J Neuroradiol 26(8):1937-942
  40. Vajkoczy P, Korja M, Czabanka M, Schneider UC, Reinert M, Lehecka M, Schmiedek P, Hernesniemi J, Kivipelto L (2012) Experience in using the excimer laser-assisted nonocclusive anastomosis nonocclusive bypass technique for high-flow revascularization: Mannheim-Helsinki series of 64 patients. Neurosurgery 70(1):49-5 CrossRef
  41. Zhong J, Ding M, Mao Q, Wang B, Fu H (2003) Evaluating brain tolerability to carotid artery occlusion. Neurol Res 25(1):99-03 CrossRef
  
• 作者单位：Ken Kazumata (1)
  Hiroyasu Kamiyama (2)
  Tatsuya Ishikawa (3)
  Toshitaka Nakamura (4)
  Shunsuke Terasaka (1)
  Kiyohiro Houkin (1)
  
  1. Department of Neurosurgery, Hokkaido University Graduate School of Medicine, Sapporo, North 15 West 7, Kita, 060-8638, Japan
  2. Sapporo Teishinkai Hospital, Sapporo, Japan
  3. Akita Blood Vessel and Research Institute, Akita, Japan
  4. Sapporo Azabu Neurosurgical hospital, Sapporo, Japan
  
• ISSN：1437-2320

文摘

Strategic cervical internal carotid occlusion is employed either temporarily or permanently in various neurosurgical procedures. The aim of the present study was to assess changes in cortical arterial pressure during cervical internal carotid cross-clamping before and after the placement of radial artery (RA) graft bypass in the treatment of complex carotid artery aneurysms. Perfusion pressure of the middle cerebral artery (MCA) was assessed in 22 patients with complex carotid aneurysm treated with RA graft bypass. Regional cerebral blood flow was assessed postoperatively using single-photon computed tomography. Mean cortical blood pressure (mcBP) was found to be 48.2?±-4.2 and 97.0?±-4.0?% of baseline after clamping the cervical internal carotid artery and opening the RA graft bypass, respectively. Cerebral perfusion pressure estimated by the mcBP failed to sustain a critical limit of greater than 70?mmHg under craniotomy in 16 out of 20 (80?%) patients. There was an inverse correlation in mcBP between the baseline and after the placement of the RA graft bypass (r--.66, P-lt;-.005). Postoperative regional cerebral blood flow in the MCA territory on the ipsilateral side of the aneurysm was 97?±-?% of that of the contralateral side after internal carotid artery (ICA) ligation combined with RA graft bypass. Substantial pressure reductions in cerebral cortical arteries were observed during the cervical internal carotid cross-clamping. Perfusion pressure in peripheral cortical arteries after the placement of the RA graft bypass was comparable to the state before ICA clamping.