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同时微手术剪切双边内动脉瘤

Samuel A Tenhoeve¹, Cody J Orton¹, Kyril L Cole¹

¹Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, Utah, USA.

World neurosurgery

|August 8, 2025

概括

通过单次切除,同时切割双边内动脉瘤 (IAs) 是一种安全有效的治疗选择. 这种方法可以避免多次手术和长期的双重抗血小板疗法在选择的患者手术可访问的IA.

科学领域:

神经外科神经外科
血管神经学血管神经学
干预性神经辐射学

背景情况:

内动脉瘤 (IAs) 影响3%-6%的成年人,多个IA增加了破裂风险.
多重IA的治疗决定取决于患者/动脉瘤因素和手术效率.
双边IA面临复杂的管理挑战,需要仔细考虑治疗策略.

研究的目的:

为了展示双边内动脉瘤同时剪切的技术细微差别.
评估双边IA单阶段开放外科手术方法的可行性和结果.
突出这种方法在选定患者的优点,以提高程序效率和减少并发症.

主要方法:

一个案例研究详细介绍了在70岁的女性中同时剪切右后沟通动脉 (PCOM) IA和左A1 IA的情况.
在多学科审查期间考虑的开放式,内血管和混合治疗选择的讨论.
选择和执行一个单阶段的,右侧的开放方法,通过一个骨切割切断两个动脉瘤.

主要成果:

单阶段的开放方法在没有并发症的情况下成功完成.
术后成像证实了两个内动脉瘤的完全封闭.
患者从手术干预中没有经历任何不良后果.

结论:

双边内动脉瘤的单阶段开放剪切手术是可行的和有效的治疗方法.
这种方法可以最大限度地减少手术数量,避免需要双重抗血小板治疗.
仔细选择患者对于优化同时进行双边IA剪切的结果至关重要.

关键词:

前脑动脉的前脑动脉这是脑血管系统.剪切剪切剪切剪切多重的内动脉瘤多重的内动脉瘤后部通讯动脉的后部通讯动脉没有破裂的动脉瘤.

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