血管内弹簧圈栓塞术后动脉瘤夹闭术：两例报告
Aneurysm clipping following endovascular coil embolization: a report of two cases.
作者信息
Grasso Giovanni, Alafaci Concetta, Passalacqua Marcello, Meli Francesco, Maugeri Rosario, Giambartino Filippo, Iacopino Domenico G, Salpietro Francesco M, Tomasello Francesco
机构信息
Department of Clinic Neurosciences, Neurosurgical Clinic, University of Palermo, Palermo, Italy.
出版信息
Med Sci Monit. 2009 Apr;15(4):CS63-6.
BACKGROUND
Treatment of intracranial aneurysms by Guglielmi detachable coil (GDC) embolization is a useful therapeutic alternative to surgery. This procedure is attractive as a minimally invasive approach to treat cerebral aneurysms; however, is not devoid of complications or failure and retreatment, with either a surgical or endovascular technique, may often be required.
CASE REPORTS
Two cases are presented in which surgery was required after coil embolization. In one case, surgical treatment was performed one month later because of regrowth and subsequent bleeding of the aneurysm. In the second case, surgical treatment was carried out six months later because of recanalization of the vascular malformation. Surgical treatment excluded both aneurysms from the cerebral circulation.
CONCLUSIONS
In this paper the authors illustrate their experience and underline the difficulty of aneurysm surgery with coils in place.
背景
使用 Guglielmi 可脱性弹簧圈（GDC）栓塞治疗颅内动脉瘤是一种有用的手术替代治疗方法。该手术作为治疗脑动脉瘤的微创方法很有吸引力；然而，它并非没有并发症或失败情况，并且通常可能需要采用手术或血管内技术进行再次治疗。
病例报告
本文介绍了两例弹簧圈栓塞后需要进行手术的病例。一例中，由于动脉瘤再生长及随后出血，在一个月后进行了手术治疗。另一例中，由于血管畸形再通，在六个月后进行了手术治疗。手术治疗使两个动脉瘤均不再参与脑循环。
结论
在本文中，作者阐述了他们的经验，并强调了存在已植入弹簧圈的动脉瘤手术的难度。
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