Eliava Sh Sh, Filatov Iu M, Kheĭreddin A S, Sazonova O B
Zh Vopr Neirokhir Im N N Burdenko. 1998 Jan-Mar(1):29-33.
The paper presents a 36-year-old patient in whom giant fusiform aneurysm of the M1 segment of the MCA was successfully clipped using intravascular aspiration technique. EEG was intraoperatively monitored. At surgery, the lumen of the deformed M1 segment was newly shaped by a series of 3 fenestrated clips. Intravascular aspiration of blood from the ipsilateral ICA significantly helped decrease blood volumes within the aneurysm and its size which facilitated dissection and clipping of the aneurysm. Since intravascular aspiration have been previously used during surgery of giant and large paraclinoidal aneurysms, this case demonstrates the benefits of the technique in the surgery of aneurysms located in the areas other than paraclinoid one.
本文介绍了一名36岁的患者，其大脑中动脉M1段巨大梭形动脉瘤通过血管内抽吸技术成功夹闭。术中监测脑电图。手术时，通过一系列3个开窗夹将变形的M1段管腔重新塑形。从同侧颈内动脉进行血管内血液抽吸显著有助于减少动脉瘤内的血量及其大小，从而便于动脉瘤的分离和夹闭。由于血管内抽吸此前已用于巨大和大型床突旁动脉瘤的手术，该病例证明了该技术在床突旁以外区域动脉瘤手术中的益处。
