da Silva Harley Brito, Messina-Lopez Mario, Sekhar Laligam N
University of Washington, Seattle, Washington.
Centro Médico Nacional de Occidente, IMSS, Guadalajara, Mexico.
Methodist Debakey Cardiovasc J. 2014 Oct-Dec;10(4):224-33. doi: 10.14797/mdcj-10-4-224.
Microsurgery for brain aneurysms is a current relevant technique, as advances in endovascular and stent-assisted coiling have not solved many of the difficulties inherent in the management of complex brain aneurysms. The following review highlights the importance of microsurgical bypass techniques for the management of complex cerebrovascular aneurysms and emphasizes, through two clinical cases, the technical difficulties and indications for bypass surgery. These cases demonstrate that in selected scenarios, bypass microsurgery still offers the only viable treatment for complex aneurysms.
脑动脉瘤显微手术是一项当前仍具相关性的技术，因为血管内介入和支架辅助弹簧圈栓塞技术的进展并未解决复杂脑动脉瘤治疗中固有的许多难题。以下综述强调了显微外科搭桥技术在复杂脑血管动脉瘤治疗中的重要性，并通过两个临床病例着重介绍了搭桥手术的技术难点和适应证。这些病例表明，在特定情况下，显微外科搭桥手术仍是治疗复杂动脉瘤的唯一可行方法。
