Department of Neurological Surgery, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02115, USA.
J Clin Neurosci. 2012 Oct;19(10):1344-7. doi: 10.1016/j.jocn.2012.05.006. Epub 2012 Aug 11.
Several landmark studies in cerebrovascular neurosurgery were published in 2011. In this brief review, we highlight advances in our understanding of cerebral aneurysms, arteriovenous malformations (AVM), cavernous malformations (CM) and cerebral ischemia. Specifically, results from the Barrow Ruptured Aneurysm Trial (BRAT), the Stenting and Aggressive Medical Management for Preventing Recurrent stroke in Intracranial Stenosis trial (SAMMPRIS) and the Carotid Occlusion Surgery Study (COSS) are highlighted. In addition, studies detailing the effect of aspirin on aneurysm rupture, the question of shrinking of ruptured aneurysms, and important endovascular reports including the Pipeline embolization device for the Intracranial Treatment of Aneurysms trial (PITA) are reviewed. New natural history results for high grade AVM from the Finnish database were reported, as were exciting advances in endovascular therapy and a compilation of results of radiosurgery. For CM, a new grading scheme was presented and the largest surgical series of brainstem CM was reported.
2011 年发表了几项关于脑血管外科学的里程碑式研究。在这篇简要的综述中，我们重点介绍了对脑动脉瘤、动静脉畸形（AVM）、海绵状血管畸形（CM）和脑缺血的理解方面的进展。具体来说，突显了巴罗破裂动脉瘤试验（BRAT）、支架置入和强化药物治疗颅内狭窄预防再发卒中试验（SAMMPRIS）和颈内动脉闭塞手术研究（COSS）的结果。此外，还回顾了详述阿司匹林对动脉瘤破裂影响的研究、关于破裂动脉瘤缩小问题的研究，以及重要的血管内报告，包括颅内动脉瘤治疗的 Pipeline 栓塞装置试验（PITA）。芬兰数据库报告了高级别 AVM 的新自然病史结果，血管内治疗的令人兴奋的进展以及放射外科结果的汇编。对于 CM，提出了一种新的分级方案，并报告了最大的脑干部位 CM 的手术系列。
