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颅内动脉瘤的血管内和显微外科联合治疗的病例系列。

A cases series of endovascular and microsurgical combined treatment of intracranial aneurysms.

机构信息

Department of Biomedical Sciences, Faculty of Medicine and Biological Sciences, Ştefan cel Mare University of Suceava, and Department of Neurosurgery, Prof. Dr. Nicolae Oblu Emergency Clinical Hospital, Iaşi, Romania;

出版信息

Rom J Morphol Embryol. 2023 Jul-Sep;64(3):379-387. doi: 10.47162/RJME.64.3.09.

Abstract

OBJECTIVE

Our scientific paper is aimed at describing multimodal treatment of intracranial aneurysms represented by microsurgery and endovascular therapy.

PATIENTS, MATERIALS AND METHODS: We report four cases of intracranial aneurysms treated in our Department of Neurosurgery by microsurgery (clipping) and endovascular treatment (coiling), through the joint efforts of a team of highly skilled neurosurgeons.

RESULTS

Mixed treatment has been imposed by the complications we were presented with, resulting from either of the two surgical methods employed.

CONCLUSIONS

Although endovascular surgery is considered a newer treatment method, favored by many practitioners, and preferred by patients, there are situations where open surgery is still required. There are certain situations were using one of the surgical methods fails and a complementary procedure is required for a secure and successful treatment. The cases reported here will demonstrate the utility of combining the two procedures.

摘要

目的

我们的科学论文旨在描述由显微手术和血管内治疗代表的颅内动脉瘤的多模态治疗。

患者、材料和方法:我们报告了我们神经外科部门通过显微手术(夹闭)和血管内治疗(线圈)治疗的 4 例颅内动脉瘤病例,这是由一支高度熟练的神经外科医生团队共同努力的结果。

结果

混合治疗是由我们遇到的两种手术方法中的任何一种引起的并发症所强加的。

结论

尽管血管内手术被认为是一种较新的治疗方法,受到许多从业者的青睐,也受到患者的欢迎,但仍有一些情况下需要进行开放手术。在某些情况下,使用其中一种手术方法失败,需要进行补充程序才能进行安全和成功的治疗。这里报告的病例将证明联合使用这两种方法的实用性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a528/10720936/c473e7baf8d6/RJME-64-3-379-fig1.jpg

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