Synowitz H J
Neurochirurgische Abteilung, Bereichs Medizin der Ernst-Moritz-Arndt-Universität Greifswald.
Zentralbl Neurochir. 1989;50(1):39-41.
The number of surgically treated patients with aneurysms included 14 aneurysms located in the Paraophthalmica segment of the A. carotis interna. In six patients only indirect methods (wrapping, establishment of an extra-cranial-intracranial microanastomosis) were used. Clipping of the aneurysmal neck with resection of the aneurysm was reached in six patients. In each case the Processus clinoideus anterior was milled off and the aneurysmal neck was prepared in a sufficient manner for the establishment of the clipping. Intraoperative problems with rupture of the aneurysm and the requirement of definite clipping of the A. carotis interna occurred in two patients. Both patients survived the intervention. One death occurred, it was a young man with a primarily inconspicuous postoperative course and the death was caused by a thrombosis in the carrier vessel.
接受手术治疗的动脉瘤患者数量包括14个位于颈内动脉眼段旁的动脉瘤。6例患者仅采用间接方法（包裹、建立颅外-颅内微吻合术）。6例患者实现了动脉瘤颈夹闭并切除动脉瘤。在每种情况下，均磨除前床突，并充分准备动脉瘤颈以进行夹闭。2例患者术中出现动脉瘤破裂问题以及需要对颈内动脉进行确定性夹闭。两名患者均在干预后存活。发生了1例死亡，是一名年轻男性，术后病程起初不明显，死亡原因是载瘤血管血栓形成。
