Pia H W
Acta Neurochir (Wien). 1978;40(1-2):5-31. doi: 10.1007/BF01773112.
Microsurgery has improved the treatment of cerebral aneurysms techically and by more detailed knowledge of the topographic relations, the variations, and the anomalies of the involved arteries. A personal study of 450 aneurysms formed the basis of a modified and more detailed classification of aneurysms of the carotid system. It was confirmed that aneurysms originate at the junctions of arteries, and generally project according to the course of the vessel involved. The origins and projections aneurysms and their different sites were analyzed with the aid of angiography, angiotomography, magnification angiography, operative drawings, photographs, and films, which permitted the establishment of a special classification for every particular form. Preoperative knowledge of the types of aneurysms facilitates the surgical procedures and results in lowered morbidity.
显微外科技术在治疗脑动脉瘤方面取得了进展，这得益于对相关动脉的地形关系、变异和异常情况有了更详细的了解。对450例动脉瘤的个人研究为颈动脉系统动脉瘤的改良和更详细分类奠定了基础。研究证实，动脉瘤起源于动脉的交汇处，通常根据受累血管的走行方向突出。借助血管造影、血管断层摄影、放大血管造影、手术绘图、照片和影片，对动脉瘤的起源、突出部位及其不同位置进行了分析，从而为每种特定形态建立了特殊分类。术前了解动脉瘤的类型有助于手术操作，并降低发病率。
