Eliava Sh Sh, Filatov Iu M, Sazonov I A, Iakovlev S B, Kheĭreddin A S, Podoprigora A E, Tseĭtlin A M, Sazonova O B, Kurdiumova N V, Serova N K, Okishev D N, Martirosian N L
Zh Vopr Neirokhir Im N N Burdenko. 2009 Jul-Sep(3):3-9; discussion 9.
The article discusses results of surgical treatment of 82 patients with large and giant cerebral aneurysms operated in Burdenko Neurosurgical Institute (Moscow, Russia) during the recent 14 years. Special attention was given to benefits of intravascular blood aspiration (IBA) technique. This technique was proven to be very effective, allowing to clip the aneurysm in 87.8% of cases with good recovery in 41.5% and with moderate disability in 39%. Postoperative mortality was 4.9% (4 patients). The authors suggested original surgical classification of large and giant aneurysms. IBA was ineffective in cases of giant partially thrombosed aneurysms with sclerotic walls and giant aneurysms with very wide neck. These aneurysms require other surgical procedures such as embolization of ICA followed by extraintracranial bypass or high-flow bypass.
本文讨论了在过去14年中，俄罗斯莫斯科布尔坚科神经外科研究所对82例大脑大型和巨大型动脉瘤患者进行手术治疗的结果。特别关注了血管内血液抽吸（IBA）技术的益处。该技术已被证明非常有效，在87.8%的病例中能够夹闭动脉瘤，其中41.5%恢复良好，39%有中度残疾。术后死亡率为4.9%（4例患者）。作者提出了大脑大型和巨大型动脉瘤的原始手术分类。IBA技术在伴有硬化壁的巨大部分血栓形成动脉瘤和颈部非常宽的巨大动脉瘤病例中无效。这些动脉瘤需要其他手术方法，如颈内动脉栓塞后进行颅外-颅内搭桥或高流量搭桥。
