Department of Neurological Surgery, Wayne State University, Detroit, Michigan 48201, USA.
J Neurointerv Surg. 2011 Dec 1;3(4):361-3. doi: 10.1136/jnis.2011.004739. Epub 2011 Feb 10.
It is known that giant intracerebral aneurysms have a high rupture and mortality rate. Furthermore, their optimal treatment method is not straightforward. While traditionally they have been managed with surgical clipping, it is not always possible. A unique case is presented in which a patient with multiple intracranial aneurysms was treated using a multimodality approach. After an intracranial-extracranial bypass, the left internal carotid artery ophthalmic aneurysm continued to grow on follow-up angiogram. Thus it was decided to go ahead with coiling of the aneurysm. The coils were delivered through the saphenous vein graft. The patient tolerated the procedure well and there were no procedural complications.
已知巨大颅内动脉瘤破裂率和死亡率较高。此外，其最佳治疗方法并不简单。传统上，它们采用手术夹闭治疗，但并非总是可行。本文报道了 1 例采用多模态方法治疗的多发性颅内动脉瘤患者。颅内-颅外旁路术后，左眼动脉颅内段动脉瘤在随访血管造影时继续增大。因此决定对其进行弹簧圈栓塞治疗。将弹簧圈通过隐静脉移植物输送。患者耐受良好，无手术相关并发症。
