Zhao J, Wang Z, Wang S
Department of Neurosurgery, Beijing Tiantan Hospital, CAMS.
Zhonghua Yi Xue Za Zhi. 1998 Nov;78(11):813-6.
To exlore the approach for treating carotid-ophthalmic aneurysms and introduce experience in reducing postoperative complications.
We treated 31 patients with carotid-ophthalmic aneurysms, which accounted for 8.3% of all intracranial aneurysms we encountered in 1994 and 1997, by direct surgical clipping.
No operative death occurred and the rate of postoperative complications was 19%. All aneurysms were occluded and later confirmed by angiography.
The direct clipping of aneurysms involving the carotid-ophthalmic artery is best treated by the extradural-intradural approach.
探讨治疗颈眼动脉瘤的方法,并介绍减少术后并发症的经验。
我们对31例颈眼动脉瘤患者进行了直接手术夹闭治疗,这些患者占我们在1994年和1997年所遇到的所有颅内动脉瘤的8.3%。
无手术死亡发生,术后并发症发生率为19%。所有动脉瘤均被夹闭,随后经血管造影证实。
涉及颈眼动脉的动脉瘤直接夹闭最好采用硬膜外-硬膜内入路治疗。