Department of Neurologic Surgery, Mayo Clinic, Rochester, MN, USA.
Department of Radiology, Mayo Clinic, Rochester, MN, USA.
Acta Neurochir (Wien). 2020 Apr;162(4):911-915. doi: 10.1007/s00701-020-04252-6. Epub 2020 Feb 4.
Ruptured large and partially thrombosed aneurysms are challenging lesions to treat successfully.
We describe the surgical treatment of a large, ruptured partially thrombosed middle cerebral artery (MCA) aneurysm. Once the Sylvian fissure is dissected, temporary clips are placed, and the clot is evacuated with simple microsuction and ultrasonic aspiration. The aneurysm is then carefully clip reconstructed to avoid compromise of the parent vessels.
In cases of surgical clipping of large, thrombosed aneurysms, it is important to be aware of a few, but critically important, pitfalls to ensure successful outcome.
破裂的大和部分血栓形成的动脉瘤是具有挑战性的病变，成功治疗。
我们描述了一个大型，部分血栓形成的大脑中动脉（MCA）动脉瘤的手术治疗。一旦解剖出外侧裂，放置临时夹，然后用简单的微吸管和超声吸引清除血栓。然后仔细夹闭重建动脉瘤，以避免母血管受损。
在大型血栓形成动脉瘤的手术夹闭中，了解一些但非常重要的陷阱对于确保成功的结果是很重要的。
