血栓状,多利切切,远端后脑动脉动脉瘤用切除和P2-P2再解剖治疗
Christopher S Graffeo1, Lea Scherschinski1, Jacob F Baranoski1
1Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA.
World neurosurgery
|May 31, 2023
概括
后脑动脉动脉瘤是罕见的. 这一案例突出显示了当初级剪贴重建失败时,复杂动脉瘤的P2-P2重建成功,确保了患者的稳定性.
科学领域:
- 神经外科 神经外科
- 血管神经学 血管神经学
- 微手术 微手术是一种微手术.
背景情况:
- 后脑动脉 (PCA) 动脉瘤不常见,剪贴重建作为主要治疗方法.
- 复杂的PCA动脉瘤可能需要动脉瘤切除和局部再解剖,以成功管理.
研究的目的:
- 描述一个复杂的病例的血栓, dolichoectatic远端右P2动脉瘤.
- 在失败的剪贴重建后,详细介绍使用端到端P2-P2再解剖术的成功手术管理.
- 为了说明微手术技术和内科手术故障排除深后循环动脉瘤.
主要方法:
- 在外科手术中使用了右门下方的方法.
- 由于部解剖学不良,初步试图进行初级剪贴重建的尝试被中止.
- 进行了动脉瘤切除,然后进行P2-P2端到端再解剖,在初始旁路血栓形成后重复解剖.
主要成果:
- 由于动脉瘤的部配置,初级剪贴重建是不可能的.
- 一个初始的P2-P2重新解剖经历了血栓形成,需要修订.
- 一次重复的端到端P2-P2再解剖术成功实现了再血管化,由绿色视频血管学证实.
结论:
- 端到端的P2-P2再解剖是复杂的远端PCA动脉瘤的可行选择,当剪切重建是不可能的.
- 谨慎的血管修剪和细致的手术技术对于在具有挑战性的神经外科病例中成功进行血管解剖术至关重要.
- 这种方法可以成功地消除动脉瘤并保持神经功能.
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