Yang S, Yu J-L, Wang H-L, Wang B, Luo Q
Department of Neurosurgery, First Hospital of Ji Lin University, Changchun, Jilin Province, China.
Interv Neuroradiol. 2010 Dec;16(4):433-41. doi: 10.1177/159101991001600410. Epub 2010 Dec 17.
We evaluated the feasibility of endovascular embolization for the management of distal anterior choroidal artery (AChA) aneurysms associated with moyamoya disease and performed a literature review to summarize their clinical features and treatment. We describe two cases of moyamoya disease-associated distal AChA aneurysms treated by endovascular embolization. In both cases, a good outcome was observed. We performed a MEDLINE (1980-2010) search which identified 13 similar cases. Our analysis of the clinical data from these 15 cases led us to conclude that (i) endovascular embolization is an effective and feasible treatment for distal AChA aneurysms associated with moyamoya disease; (ii) aneurysm location and the preservation of the parent artery are two major prognostic factors for moyamoya disease-associated distal AChA aneurysms subjected to craniotomy or endovascular therapy; (iii) the parent artery should be preserved when the aneurysm is located in the temporal horn of the lateral ventricle, but sacrificed when it is located in the trigone of the lateral ventricle.
我们评估了血管内栓塞术治疗与烟雾病相关的脉络膜前动脉（AChA）远端动脉瘤的可行性，并进行了文献综述以总结其临床特征和治疗方法。我们描述了两例通过血管内栓塞术治疗的与烟雾病相关的AChA远端动脉瘤病例。在这两个病例中，均观察到良好的治疗效果。我们对MEDLINE（1980 - 2010年）进行了检索，共识别出13例类似病例。我们对这15例病例的临床资料分析得出以下结论：（i）血管内栓塞术是治疗与烟雾病相关的AChA远端动脉瘤的一种有效且可行的方法；（ii）动脉瘤位置和母动脉的保留是接受开颅手术或血管内治疗的与烟雾病相关的AChA远端动脉瘤的两个主要预后因素；（iii）当动脉瘤位于侧脑室颞角时，应保留母动脉，而当它位于侧脑室三角区时，则应牺牲母动脉。
