• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

术前垂直几何分析在大脑前交通动脉动脉瘤手术中的重要性

Importance of Preoperative Vertical Geometric Analysis in Surgery for Anterior Communicating Artery Aneurysm.

作者信息

Gürkan Gökhan, Atar Murat

机构信息

Department of Neurosurgery, Izmir Katip Çelebi University Atatürk Training and Research Hospital, Izmir, TUR.

Department of Neurosurgery, Sultan Abdülhamid Han Training and Research Hospital, Istanbul, TUR.

出版信息

Cureus. 2023 Jul 3;15(7):e41322. doi: 10.7759/cureus.41322. eCollection 2023 Jul.

DOI:10.7759/cureus.41322
PMID:37539428
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10395755/
Abstract

OBJECTIVE

In this study, we analyzed the vertical geometry of the anterior communicating artery (AComA) complex with the aim to improve the surgical site orientation during aneurysm operations. Further, the geometric data that can contribute to the success of the surgical technique applied for AComA aneurysms are reported.

METHODS

Computed tomography angiography data of the cerebral arteries of 100 patients who visited our clinic were analyzed. A three-dimensional examination was performed according to the Frankfurt horizontal plane (FHP) using the RadiAnt DICOM Viewer (Medixant, Poznan, Poland), and vertical measurements of the AComA complex were calculated.

RESULTS

The Willis polygon values were found to be consistent with those in the literature. The mean height of the AComA complex was 30.58 ± 4.80 mm according to the FHP.

CONCLUSIONS

Preoperative evaluation of the vertical geometry of the AComA complex is essential for AComA aneurysm surgery. The height of the AComA complex is a key parameter affecting intraoperative surgical site visibility. Preoperative calculation of the height of the AComA complex relative to FHP can facilitate intraoperative surgical site orientation.

摘要

目的

在本研究中，我们分析了前交通动脉（AComA）复合体的垂直几何结构，旨在改善动脉瘤手术期间的手术部位定位。此外，还报告了有助于AComA动脉瘤手术技术成功的几何数据。

方法

分析了100名来我院就诊患者的脑动脉计算机断层血管造影数据。使用RadiAnt DICOM Viewer（Medixant，波兰波兹南）根据法兰克福水平面（FHP）进行三维检查，并计算AComA复合体的垂直测量值。

结果

发现Willis环值与文献中的值一致。根据FHP，AComA复合体的平均高度为30.58±4.80mm。

结论

术前评估AComA复合体的垂直几何结构对于AComA动脉瘤手术至关重要。AComA复合体的高度是影响术中手术部位可见性的关键参数。术前计算AComA复合体相对于FHP的高度有助于术中手术部位定位。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6ac/10395755/5d0c09b661af/cureus-0015-00000041322-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6ac/10395755/a313bd00fb90/cureus-0015-00000041322-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6ac/10395755/d53da761ec05/cureus-0015-00000041322-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6ac/10395755/5d0c09b661af/cureus-0015-00000041322-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6ac/10395755/a313bd00fb90/cureus-0015-00000041322-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6ac/10395755/d53da761ec05/cureus-0015-00000041322-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6ac/10395755/5d0c09b661af/cureus-0015-00000041322-i03.jpg

相似文献

1
Importance of Preoperative Vertical Geometric Analysis in Surgery for Anterior Communicating Artery Aneurysm.术前垂直几何分析在大脑前交通动脉动脉瘤手术中的重要性
Cureus. 2023 Jul 3;15(7):e41322. doi: 10.7759/cureus.41322. eCollection 2023 Jul.
2
The Implication of Anterior Communicating Complex Rotation and 3-Dimensional Computerized Tomography Angiography Findings in Surgical Approach to Anterior Communicating Artery Aneurysms.前交通复合体旋转及三维计算机断层血管造影结果对前交通动脉动脉瘤手术入路的意义
World Neurosurg. 2016 Jul;91:34-42. doi: 10.1016/j.wneu.2016.03.051. Epub 2016 Mar 26.
3
Fenestrated Anterior Communicating Artery Complex Mimicking an Unruptured Aneurysm: Diagnostic Pitfall.酷似未破裂动脉瘤的有孔前交通动脉复合体：诊断陷阱。
Asian J Neurosurg. 2023 Mar 31;18(1):201-205. doi: 10.1055/s-0043-1764119. eCollection 2023 Mar.
4
Factors determining the best surgical exposure and safe clip positioning in surgical treatment of anterior communicating artery (AComA) aneurysms - particular significance of AComA complex rotation in the axial plane.前交通动脉（AComA）动脉瘤手术治疗中决定最佳手术显露和安全夹闭位置的因素——AComA复合体在轴平面旋转的特殊意义
Pol Przegl Chir. 2019 Oct 16;91(6):6-10. doi: 10.5604/01.3001.0013.5285.
5
Microsurgical clipping of a large ruptured anterior communicating artery aneurysm.大型破裂前交通动脉动脉瘤的显微外科夹闭术。
Surg Neurol Int. 2018 Nov 28;9:233. doi: 10.4103/sni.sni_345_18. eCollection 2018.
6
Horizontal distance of anterior communicating artery aneurysm neck from anterior clinoid process is critically important to predict postoperative complication in clipping via pterional approach.前交通动脉动脉瘤颈与前床突的水平距离对于预测经翼点入路夹闭术后并发症至关重要。
Surg Neurol Int. 2017 Aug 22;8:200. doi: 10.4103/sni.sni_169_17. eCollection 2017.
7
The role of wall shear stress in the parent artery as an independent variable in the formation status of anterior communicating artery aneurysms.壁切应力在母体动脉中的作用作为前交通动脉瘤形成状态的一个独立变量。
Eur Radiol. 2019 Feb;29(2):689-698. doi: 10.1007/s00330-018-5624-7. Epub 2018 Jul 17.
8
Role of aneurysm projection in "A2" fork orientation for determining the side of surgical approach.动脉瘤投影在“A2”分叉方向中对确定手术入路侧别的作用。
Acta Neurochir (Wien). 2009 Aug;151(8):925-33; discussion 933. doi: 10.1007/s00701-009-0407-1. Epub 2009 Jun 5.
9
Angiographic Morphology of Anterior Communicating Artery Aneurysms and Their Association with Rupture Risk.前交通动脉动脉瘤的血管造影形态及其与破裂风险的关系。
Turk Neurosurg. 2021;31(2):261-267. doi: 10.5137/1019-5149.JTN.30527-20.4.
10
Proposed Parent Vessel Geometry Based Classification of Anterior Communicating Artery-Located Aneurysms.基于拟议母血管几何形状的前交通动脉动脉瘤分类
World Neurosurg. 2017 May;101:259-269. doi: 10.1016/j.wneu.2017.01.096. Epub 2017 Feb 4.

本文引用的文献

1
Three-Dimensional Printing Assisted Preoperative Surgical Planning for Cerebral Arteriovenous Malformation.三维打印辅助脑动静脉畸形术前手术规划
J Korean Neurosurg Soc. 2021 Nov;64(6):882-890. doi: 10.3340/jkns.2021.0016. Epub 2021 Oct 25.
2
Partial Gyrus Rectus Resection as a Technique to Improve the Exposure to the Anterior Communicating Artery Complex through the Junctional Triangle: A Quantitative Study.经联合三角区行直回部分切除术作为改善前交通动脉复合体显露的一种技术：一项定量研究
J Neurol Surg B Skull Base. 2021 Jul;82(Suppl 3):e211-e216. doi: 10.1055/s-0040-1710517. Epub 2020 May 5.
3
Circle of Willis variations and artery diameter measurements in the Turkish population.
土耳其人群中 Willis 环变异及动脉直径测量
Folia Morphol (Warsz). 2017;76(3):420-425. doi: 10.5603/FM.a2017.0004. Epub 2017 Feb 2.
4
Relationship between Gyrus Rectus Resection and Cognitive Impairment after Surgery for Ruptured Anterior Communicating Artery Aneurysms.破裂性前交通动脉瘤手术后直回切除术与认知障碍的关系
J Cerebrovasc Endovasc Neurosurg. 2016 Sep;18(3):223-228. doi: 10.7461/jcen.2016.18.3.223. Epub 2016 Sep 30.
5
The Anatomy of Circulus Arteriosus Cerebri (Circle of Willis): A Study in Turkish Population.大脑动脉环（Willis环）的解剖结构：一项针对土耳其人群的研究。
Turk Neurosurg. 2016;26(1):54-61. doi: 10.5137/1019-5149.JTN.13281-14.1.
6
Assessment of the Circle of Willis with Cranial Tomography Angiography.利用头颅断层血管造影术评估 Willis 环。
Med Sci Monit. 2015 Sep 6;21:2647-52. doi: 10.12659/MSM.894322.
7
Neurosurgical advances in the treatment of moyamoya disease.神经外科学在治疗烟雾病方面的进展。
Stroke. 2011 Nov;42(11):3304-10. doi: 10.1161/STROKEAHA.110.598565. Epub 2011 Oct 6.
8
Craniofacial reference plane variation and natural head position.颅面参考平面变异与自然头位
Eur J Orthod. 2008 Oct;30(5):532-40. doi: 10.1093/ejo/cjn031. Epub 2008 Jul 16.
9
The supratentorial arteries.幕上动脉。
Neurosurgery. 2002 Oct;51(4 Suppl):S53-120.
10
Neurobehavioural disturbances, rehabilitation outcome, and lesion site in patients after rupture and repair of anterior communicating artery aneurysm.前交通动脉瘤破裂与修复术后患者的神经行为障碍、康复结局及病变部位
J Neurol Neurosurg Psychiatry. 1998 Jul;65(1):93-102. doi: 10.1136/jnnp.65.1.93.