Tanaka K, Waga S, Kojima T, Kubo Y, Shimizu T, Niwa S
Department of Neurosurgery, Mie University Hospital Tsu, Japan.
Acta Neurochir (Wien). 1989;100(1-2):62-6. doi: 10.1007/BF01405276.
We present 6 cases with dissecting aneurysm of the intracranial vertebral artery who developed subarachnoid haemorrhage (SAH). The following procedures were performed in this series; trapping of the involved artery in 2, proximal occlusion of the vertebral artery with detachable balloon in 2, and proximal clipping of the vertebral artery in 2. Proximal occlusion of the vertebral artery in 4 and trapping of the vertebral artery in one gave excellent results. We believe the treatment of choice is proximal occlusion of the vertebral artery, either by open surgery or by interventional neuroradiological procedures.
我们报告了6例颅内椎动脉夹层动脉瘤并发蛛网膜下腔出血（SAH）的病例。本系列病例采用了以下手术方法：2例行受累动脉夹闭术，2例行用可脱性球囊闭塞椎动脉近端，2例行椎动脉近端夹闭术。4例行椎动脉近端闭塞术，1例行椎动脉夹闭术，效果良好。我们认为，无论是通过开放手术还是介入神经放射学方法，椎动脉近端闭塞术都是首选的治疗方法。
