• 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

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.

DOI:10.47162/RJME.64.3.09
PMID:37867355
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10720936/
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/f63b0022ea71/RJME-64-3-379-fig12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a528/10720936/c473e7baf8d6/RJME-64-3-379-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a528/10720936/c3470b719a6b/RJME-64-3-379-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a528/10720936/03b80d447949/RJME-64-3-379-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a528/10720936/f4888c969efc/RJME-64-3-379-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a528/10720936/3b036939e22e/RJME-64-3-379-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a528/10720936/8c2f5711b242/RJME-64-3-379-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a528/10720936/6c2d83f6a10c/RJME-64-3-379-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a528/10720936/adfebb353c69/RJME-64-3-379-fig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a528/10720936/a79cc1981d73/RJME-64-3-379-fig9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a528/10720936/14806208bab4/RJME-64-3-379-fig10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a528/10720936/6239b60894a4/RJME-64-3-379-fig11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a528/10720936/f63b0022ea71/RJME-64-3-379-fig12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a528/10720936/c473e7baf8d6/RJME-64-3-379-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a528/10720936/c3470b719a6b/RJME-64-3-379-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a528/10720936/03b80d447949/RJME-64-3-379-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a528/10720936/f4888c969efc/RJME-64-3-379-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a528/10720936/3b036939e22e/RJME-64-3-379-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a528/10720936/8c2f5711b242/RJME-64-3-379-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a528/10720936/6c2d83f6a10c/RJME-64-3-379-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a528/10720936/adfebb353c69/RJME-64-3-379-fig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a528/10720936/a79cc1981d73/RJME-64-3-379-fig9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a528/10720936/14806208bab4/RJME-64-3-379-fig10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a528/10720936/6239b60894a4/RJME-64-3-379-fig11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a528/10720936/f63b0022ea71/RJME-64-3-379-fig12.jpg

相似文献

1
A cases series of endovascular and microsurgical combined treatment of intracranial aneurysms.颅内动脉瘤的血管内和显微外科联合治疗的病例系列。
Rom J Morphol Embryol. 2023 Jul-Sep;64(3):379-387. doi: 10.47162/RJME.64.3.09.
2
Endovascular embolization versus surgical clipping in a single surgeon series of basilar artery aneurysms: a complementary approach in the endovascular era.在单一外科医生系列的基底动脉动脉瘤中,血管内栓塞与手术夹闭的比较:血管内时代的互补方法。
Acta Neurochir (Wien). 2021 May;163(5):1527-1540. doi: 10.1007/s00701-021-04803-5. Epub 2021 Mar 10.
3
Comparison of the Efficacy and Safety of Endovascular Coiling Versus Microsurgical Clipping for Unruptured Middle Cerebral Artery Aneurysms: A Systematic Review and Meta-Analysis.血管内栓塞术与显微外科夹闭术治疗未破裂大脑中动脉动脉瘤的疗效与安全性比较:一项系统评价和Meta分析
World Neurosurg. 2015 Oct;84(4):942-53. doi: 10.1016/j.wneu.2015.05.073. Epub 2015 Jun 18.
4
Multimodality treatment of complex unruptured cavernous and paraclinoid aneurysms.复杂未破裂海绵窦及鞍旁动脉瘤的多模态治疗
Neurosurgery. 2014 Jan;74(1):51-61; discussion 61; quiz 61. doi: 10.1227/NEU.0000000000000192.
5
MICROSURGICAL MANAGEMENT OF RECURRENT INTRACRANIAL ANEURYSMS FOLLOWING ENDOVASCULAR TREATMENT: A SINGLE INSTITUTION ILLUSTRATIVE CASE SERIES AND LITERATURE REVIEW.显微外科治疗血管内治疗后复发性颅内动脉瘤:单中心病例系列及文献复习。
Acta Clin Croat. 2021 Dec;60(4):695-702. doi: 10.20471/acc.2021.60.04.17.
6
Therapeutic strategies for residual or recurrent intracranial aneurysms after microsurgical clipping.显微外科夹闭术后残留或复发性颅内动脉瘤的治疗策略。
Clin Neurol Neurosurg. 2018 Oct;173:110-114. doi: 10.1016/j.clineuro.2018.08.011. Epub 2018 Aug 6.
7
Surgical Outcomes and Their Correlation with Increasing Surgical Experience in a Series of 250 Ruptured or Unruptured Aneurysms Undergoing Microsurgical Clipping.250 例破裂或未破裂动脉瘤显微镜夹闭手术的手术结果及其与手术经验增加的相关性分析。
World Neurosurg. 2019 Oct;130:e542-e550. doi: 10.1016/j.wneu.2019.06.150. Epub 2019 Jun 26.
8
Microsurgical clipping for recurrent aneurysms after initial endovascular coil embolization.初次血管内弹簧圈栓塞术后复发性动脉瘤的显微外科夹闭术。
World Neurosurg. 2015 Feb;83(2):211-8. doi: 10.1016/j.wneu.2014.08.013. Epub 2014 Aug 10.
9
Endovascular Coiling Versus Microsurgical Clipping for Patients With Ruptured Very Small Intracranial Aneurysms: Management Strategies and Clinical Outcomes of 162 Cases.破裂微小颅内动脉瘤患者的血管内栓塞与显微手术夹闭:162例患者的治疗策略与临床结果
World Neurosurg. 2017 Mar;99:763-769. doi: 10.1016/j.wneu.2015.11.079. Epub 2015 Dec 28.
10
Efficacy and Safety of Treatment of Ruptured Intracranial Aneurysms.破裂颅内动脉瘤的治疗效果与安全性
World Neurosurg. 2017 Feb;98:780-789. doi: 10.1016/j.wneu.2016.07.013. Epub 2016 Jul 14.

本文引用的文献

1
High hemodynamic stresses induce aneurysms at internal carotid artery bends.高血流动力学应力导致颈内动脉弯曲处动脉瘤的形成。
Medicine (Baltimore). 2023 Aug 4;102(31):e34587. doi: 10.1097/MD.0000000000034587.
2
Endovascular coiling versus microsurgical clipping for ruptured intracranial aneurysms: a meta-analysis and systematic review.血管内栓塞术与显微手术夹闭术治疗破裂颅内动脉瘤的Meta分析和系统评价
Chin Neurosurg J. 2022 Jul 25;8(1):17. doi: 10.1186/s41016-022-00283-3.
3
Contemporary Management of Distal Anterior Cerebral Artery Aneurysms: A Dual-Trained Neurosurgeon's Perspective.
大脑前动脉远端动脉瘤的当代管理:一位接受双重培训的神经外科医生的观点。
J Neurosci Rural Pract. 2021 Sep 28;12(4):711-717. doi: 10.1055/s-0041-1735823. eCollection 2021 Oct.
4
The evolution of intracranial aneurysm treatment techniques and future directions.颅内动脉瘤治疗技术的演变及未来方向。
Neurosurg Rev. 2022 Feb;45(1):1-25. doi: 10.1007/s10143-021-01543-z. Epub 2021 Apr 23.
5
Combined Endovascular and Microsurgical Hybrid Management of Cerebral Aneurysms: The Preliminary Fujita Experience.脑动脉瘤的血管内与显微外科联合杂交治疗:藤田医院的初步经验
Asian J Neurosurg. 2019 Jul-Sep;14(3):863-867. doi: 10.4103/ajns.AJNS_133_17.
6
Endovascular Coiling Versus Neurosurgical Clipping for Aneurysmal Subarachnoid Hemorrhage: A Systematic Review and Meta-analysis.血管内栓塞术与神经外科夹闭术治疗动脉瘤性蛛网膜下腔出血:一项系统评价和荟萃分析
Cureus. 2019 Mar 26;11(3):e4320. doi: 10.7759/cureus.4320.
7
Risk of de novo aneurysm formation in patients with a prior diagnosis of ruptured or unruptured aneurysm: systematic review and meta-analysis.既往诊断为破裂或未破裂动脉瘤患者发生新发动脉瘤的风险:系统评价和荟萃分析。
J Neurosurg. 2018 Jul 6;131(1):14-24. doi: 10.3171/2018.1.JNS172450. Print 2019 Jul 1.
8
Treatment of Distal Anterior Cerebral Artery Aneurysms with Flow-Diverter Stents: A Single-Center Experience.血流导向装置治疗大脑前动脉远端动脉瘤:单中心经验。
AJNR Am J Neuroradiol. 2018 Jun;39(6):1100-1106. doi: 10.3174/ajnr.A5615. Epub 2018 Apr 12.
9
Comparison of the Efficacy and Safety of Endovascular Coiling Versus Microsurgical Clipping for Unruptured Middle Cerebral Artery Aneurysms: A Systematic Review and Meta-Analysis.血管内栓塞术与显微外科夹闭术治疗未破裂大脑中动脉动脉瘤的疗效与安全性比较:一项系统评价和Meta分析
World Neurosurg. 2015 Oct;84(4):942-53. doi: 10.1016/j.wneu.2015.05.073. Epub 2015 Jun 18.
10
PHASES Score for Prediction of Intracranial Aneurysm Growth.预测颅内动脉瘤生长的PHASES评分
Stroke. 2015 May;46(5):1221-6. doi: 10.1161/STROKEAHA.114.008198. Epub 2015 Mar 10.