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颈内动脉分叉处动脉瘤的直接显微手术入路

Direct microsurgical approach to aneurysms of the internal carotid bifurcation.

作者信息

Da Pian R, Pasqualin A, Scienza R

出版信息

Surg Neurol. 1980 Jan;13(1):27-37.

PMID:7361255
Abstract

In this report, a series of 21 aneurysms of the internal carotid bifurcation, all treated with a direct microsurgical approach, is discussed. A classification of these aneurysms, according to angiographic and anatomical considerations, is proposed. The surgical treatment of aneurysms of the internal carotid bifurcation is discussed, emphasizing the importance of avoiding damage to perforating vessels. One of the patients presented in this report died from postoperative vascular spasm and three had transient disturbances in the postoperative course. All surviving patients recovered completely.

摘要

在本报告中,讨论了一系列21例颈内动脉分叉处动脉瘤,均采用直接显微外科手术方法进行治疗。根据血管造影和解剖学因素,对这些动脉瘤提出了一种分类方法。讨论了颈内动脉分叉处动脉瘤的手术治疗,强调了避免损伤穿支血管的重要性。本报告中呈现的一名患者死于术后血管痉挛,三名患者在术后过程中出现短暂性障碍。所有存活患者均完全康复。

相似文献

1
Direct microsurgical approach to aneurysms of the internal carotid bifurcation.颈内动脉分叉处动脉瘤的直接显微手术入路
Surg Neurol. 1980 Jan;13(1):27-37.
2
Carotid-ophthalmic aneurysms: direct microsurgical approach.颈内动脉-眼动脉瘤:直接显微手术入路
Surg Neurol. 1977 Sep;8(3):155-65.
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[Aneurysm of the internal carotid artery bifurcation. Technical reflections apropos of a series of 10 cases].[颈内动脉分叉处动脉瘤。关于10例病例的技术思考]
Neurochirurgie. 1989;35(4):242-5.
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Microsurgical treatment of ventral (paraclinoid) internal carotid artery aneurysms.腹侧(床突旁)颈内动脉瘤的显微外科治疗
Neurosurgery. 1988 Jan;22(1 Pt 1):32-9. doi: 10.1227/00006123-198801010-00005.
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Treatment of internal carotid bifurcation aneurysms by direct surgery.通过直接手术治疗颈内动脉分叉处动脉瘤。
J Neurosurg. 1975 Sep;43(3):343-51. doi: 10.3171/jns.1975.43.3.0343.
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Dorsal internal carotid artery aneurysms with special reference to angiographic presentation and surgical management.颈内动脉背侧动脉瘤,特别涉及血管造影表现及手术治疗
Acta Neurochir (Wien). 1992;119(1-4):42-8. doi: 10.1007/BF01541780.
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Surgical treatment of internal carotid and posterior communicating artery aneurysms.颈内动脉和后交通动脉瘤的外科治疗
Neurosurg Clin N Am. 1998 Oct;9(4):785-95.
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Paraclinoid carotid aneurysms.鞍旁颈动脉动脉瘤。
J Clin Neurosci. 2011 Jan;18(1):13-22. doi: 10.1016/j.jocn.2010.06.020. Epub 2010 Dec 3.
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Characteristics of Peri-Internal Carotid Artery Bifurcation Aneurysms According to a New Anatomic Classification: How to Overcome Difficulties in the Microsurgical Treatment of Posteroinferiorly Projecting Carotid-A1 Junctional Aneurysms.根据新的解剖分类,颈内动脉分叉部周围动脉瘤的特点:如何克服后下向颈内动脉 A1 交界处动脉瘤的显微手术治疗的困难。
World Neurosurg. 2019 Jun;126:e1219-e1227. doi: 10.1016/j.wneu.2019.02.232. Epub 2019 Mar 16.
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Application of flow diverters in the treatment of aneurysms in the internal carotid artery bifurcation region.血流导向装置在治疗颈内动脉分叉部动脉瘤中的应用。
Neuroradiol J. 2020 Aug;33(4):297-305. doi: 10.1177/1971400920924840. Epub 2020 May 18.

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Trapping, dome puncture, and direct suction decompression in conjunction with assistant superficial temporal artery- middle cerebral artery bypass to clip giant internal carotid artery bifurcation aneurysm.采用圈套、穹窿穿刺及直接吸引减压,并联合颞浅动脉-大脑中动脉搭桥术辅助夹闭巨大颈内动脉分叉部动脉瘤。
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Chonnam Med J. 2017 Jan;53(1):47-55. doi: 10.4068/cmj.2017.53.1.47. Epub 2017 Jan 25.
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Endovascular treatment of internal carotid artery bifurcation aneurysms: a single-center experience and a systematic review and meta-analysis.
颈内动脉分叉部动脉瘤的血管内治疗:单中心经验及系统评价与荟萃分析
AJNR Am J Neuroradiol. 2014 Oct;35(10):1948-53. doi: 10.3174/ajnr.A3992. Epub 2014 Jun 5.
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Internal carotid bifurcation aneurysms: frequency, angiographic anatomy and results of coiling in 50 aneurysms.颈内动脉分叉处动脉瘤:50例动脉瘤的发生率、血管造影解剖及栓塞治疗结果
Neuroradiology. 2008 Jul;50(7):583-7. doi: 10.1007/s00234-008-0375-9. Epub 2008 May 6.