虽然大多数缺血性脑卒中患者起源于血栓栓塞并行血管内及药物治疗,但仍有一些患者是由于血流动力学受损引起的,可行搭桥手术治疗。随着手术经验的不断总结及科学技术的发展,颞浅动脉-大脑中动脉搭桥、高流量搭桥等血管重建技术得到不断的进步与完善,但搭桥手术对于缺血性脑卒中的临床适应证及效果仍然有争议。 Although most patients with ischemic stroke originate from thromboembolism for endovascular and pharmacologic treatment, some patients are still due to hemodynamic impairment and bypass surgery is feasible. With the continuous summarization of surgical experience and the development of science and technology, the technique of revascularization, such as superficial temporal artery, middle cerebral artery bypass and high-flow bypass, has been continuously improved and improved. However, the clinical indications of bypass surgery for ischemic stroke and The effect is still controversial.