手术夹闭仍是治疗床突旁动脉瘤的一种不错选择。
Surgical clipping is still a good choice for the treatment of paraclinoid aneurysms.
作者信息
Pahl Felix Hendrik, de Oliveira Matheus Fernandes, Brock Roger Schmidt, Lucio José Erasmo Dal Col, Rotta José Marcus
机构信息
Departamento de Neurocirurgia, Hospital do Servidor Público Estadual de São Paulo, IAMSPE, Sao Paulo, SP, Brazil.
Departamento de Neurocirurgia, Hospital Sirio Libanês, Sao Paulo, SP, Brazil.
出版信息
Arq Neuropsiquiatr. 2016 Apr;74(4):314-9. doi: 10.1590/0004-282X20150215.
UNLABELLED
Paraclinoid aneurysms are lesions located adjacent to the clinoid and ophthalmic segments of the internal carotid artery. In recent years, flow diverter stents have been introduced as a better endovascular technique for treatment of these aneurysms.
METHOD
From 2009 to 2014, a total of 43 paraclinoid aneurysms in 43 patients were surgically clipped. We retrospectively reviewed the records of these patients to analyze clinical outcomes.
RESULTS
Twenty-six aneurysms (60.5%) were ophthalmic artery aneurysms, while 17 were superior hypophyseal artery aneurysms (39.5%). The extradural approach to the clinoid process was used to clip these aneurysms. One hundred percent of aneurysms were clipped (complete exclusion in 100% on follow-up angiography). The length of follow-up ranged from 1 to 60 months (mean, 29.82 months).
CONCLUSION
Surgical clipping continues to be a good option for the treatment of paraclinoid aneurysms.
未标注
床突旁动脉瘤是位于颈内动脉床突段和眼段附近的病变。近年来，血流导向支架作为治疗这些动脉瘤的一种更好的血管内技术被引入。
方法
2009年至2014年，对43例患者的43个床突旁动脉瘤进行了手术夹闭。我们回顾性分析了这些患者的记录以分析临床结果。
结果
26个动脉瘤（60.5%）为眼动脉动脉瘤，17个为垂体上动脉动脉瘤（39.5%）。采用硬膜外入路至床突对这些动脉瘤进行夹闭。100%的动脉瘤被夹闭（随访血管造影显示100%完全闭塞）。随访时间为1至60个月（平均29.82个月）。
结论
手术夹闭仍然是治疗床突旁动脉瘤的一个好选择。
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