Noterman J, D'Haens J
Services de neurochirurgie, hôpital Erasme, université libre de Bruxelles, Bruxelles, Belgique.
Neurochirurgie. 2008 Dec;54(6):757-64. doi: 10.1016/j.neuchi.2008.06.003. Epub 2008 Aug 9.
Intracranial aneurysm treatment began in the 20th century. Treatment remained anecdotal for a long time because these lesions could not be visualized. This was the period of hunterian ligation of the carotid and trapping. After the discovery of the carotid angiography at the end of the 1920s, a new direct clipping approach started. Other techniques were used, such as wrapping and coating. Finally, in the 1980s, endovascular procedures appeared and are now in constant progress. The advantages, problems and improvements of these treatments are briefly reviewed.
颅内动脉瘤治疗始于20世纪。在很长一段时间里，治疗方法都是凭经验的，因为这些病变无法可视化。这是颈动脉亨特氏结扎术和血管夹闭术的时期。20世纪20年代末发现颈动脉血管造影术后，一种新的直接夹闭方法开始出现。还使用了其他技术，如包裹和涂层。最终，在20世纪80年代，血管内治疗方法出现了，并且现在仍在不断发展。本文简要回顾了这些治疗方法的优点、问题及改进情况。
