对于与持久原始三角动脉相关的大型洞穴性内动脉动脉瘤的高流旁路手术:一个病例报告
1Department of Neurosurgery, Japanese Red Cross Maebashi Hospital, Maebashi, Japan.
Surgical neurology international
|March 5, 2026
概括
巨大的洞穴性内动脉动脉瘤与持久的原始三角动脉构成治疗挑战. 微手术绕道提供了一个可行的替代方案,当流量转移器可能是无效的,因为复杂的血管解剖学.
科学领域:
- 神经外科 神经外科
- 血管神经学 血管神经学
- 医疗成像医学成像
背景情况:
- 巨大的洞穴性内动脉动脉瘤带来了重大的治疗挑战.
- 持久的原始三角动脉可以通过维持动脉瘤的流入来损害流量转移器的有效性.
- 复杂的胚胎血管解剖学需要个性化的治疗策略.
研究的目的:
- 呈现一个巨大的洞穴状内动脉动脉瘤的病例,与持久的原始三角动脉相关.
- 为了评估微手术绕道与远端内动脉封闭在管理这种复杂的动脉瘤的疗效.
- 突出在神经血管干预中量身定制的手术方法的重要性.
主要方法:
- 一名74岁的妇女患有渐进的眼运动神经麻和视力下降.
- 进行了高流量的外侧带中脑动脉旁路.
- 在动脉瘤之外实现了远端内动脉封闭.
主要成果:
- 绕道在程序后仍然是专利的,而不会引起脑梗塞.
- 观察到动脉瘤囊的部分血栓形成.
- 通过持久的原始三角动脉的流量被成功保存.
结论:
- 微手术绕道可以成为巨型洞穴性内动脉动脉瘤与持久原始三角动脉的有效治疗方法.
- 当流量转移器由于复杂的血管解剖学而可能无效时,个性化微手术策略至关重要.
- 在特定情况下,保留附带流,例如通过持久的原始三角动脉,可能很重要.
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