Department of Neurosciences and Biomedical Technologies, University of Milano Bicocca, Monza, Italy.
World Neurosurg. 2012 Sep-Oct;78(3-4):276-88. doi: 10.1016/j.wneu.2011.11.034. Epub 2011 Nov 29.
To describe the application of intraoperative monitoring techniques during aneurysm surgery and to discuss the advantages and limitations of these techniques in prevention of postoperative neurologic deficits.
Articles found in the literature through PubMed for the time frame 1980-2011 and the authors' personal files were reviewed.
Various techniques for detection of vascular insufficiency are available, including direct methods to measure cerebral blood flow and indirect methods to evaluate the integrity of neurologic pathways.
The choice of monitoring modality should be governed by the vessel and by the vascular territory most at risk during the planned procedure with proper awareness of the potential limits related to each technique. Aneurysm surgery monitoring should help to address issues of continuity and provide a morphologic and functional assessment. Although the use of monitoring devices is still not routine in aneurysm surgery and no standards have been established, combining different monitoring techniques is crucial to optimize aneurysm surgery and avoid or minimize complications.
描述术中监测技术在动脉瘤手术中的应用，并讨论这些技术在预防术后神经功能缺损方面的优缺点。
通过 PubMed 检索 1980 年至 2011 年的文献，并查阅作者的个人资料。
有多种用于检测血管功能不全的技术，包括直接测量脑血流的方法和间接评估神经通路完整性的方法。
监测模式的选择应根据计划手术中最危险的血管和血管区域来决定，并适当了解每种技术的潜在局限性。动脉瘤手术监测有助于解决连续性问题，并提供形态和功能评估。尽管在动脉瘤手术中使用监测设备还不是常规做法，也没有建立标准，但结合使用不同的监测技术对于优化动脉瘤手术、避免或最小化并发症至关重要。
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