Neurological Surgery 脳神経外科50巻4号

2022年07月発行

特集 STA-MCAバイパス術—日本が世界に誇る技を学ぶ Ⅲ特殊なバイパス術

もやもや病に対するバイパス術Ⅲ：もやもや病の脳虚血に対する間接バイパス術

著者： 原祥子¹ 成相直¹

所属機関： ¹東京医科歯科大学脳神経機能外科

ページ範囲：P.826 - P.838

Point
・間接バイパス術では創傷治癒反応とグラフト-脳表間の灌流圧較差により動脈新生（arteriogenesis）が誘導される．
・間接バイパス術は脳虚血部位への開頭とグラフトの縫着を原則とし，多様な手技手法が存在する．
・もやもや病への間接バイパス術は内頚動脈系から外頚動脈系への移行を促進する．
・諸外国では動脈硬化性疾患にも間接バイパス術が施行されつつある．
＊本論文中、［Video］マークのある図につきましては、関連する動画を見ることができます（公開期間：2025年8月まで）。

参考文献

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