Microsurgery via subfrontal approach in treating ruptured anterior communicating artery aneurysms at acute stage
10.3760/cma.j.issn.1671-8925.2012.01.012
- VernacularTitle:经额下人路显微手术治疗破裂的急性前交通动脉瘤
- Author:
Ren-Xing SONG
1
;
Shu-Wen SUN
;
Shou-Xian WANG
;
Zeng-Wu WANG
;
Zhe WANG
;
Dao-Kui WANG
Author Information
1. 潍坊市人民医院脑科医院
- Keywords:
Anterior communicating artery aneurysm;
Microsurgery;
Subfrontal approach
- From:
Chinese Journal of Neuromedicine
2012;11(1):50-52
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the microsurgical treatment of anterior communicating artery (ACoA) aneurysms at acute stage vit the supffontal approach. Methods Thirty-two patients with ruptured ACoA aneurysms,admitted to our hospital from January 2007 to October 2010 and underwent mierosurgery through supfrontal approach, were chosen in our study; their clinical manifestations,surgical methods and treatment efficacy were retrospectively analyzed. Results All 32 ACoA aneurysms in these 32 patients were clipped successfully.Forty-two aneurysm clips were used during the surgery; intraoperative aneurysm rupture occurred in 7 patients (21.88％). According to scores of Glasgow Outcome scale after 6-12 months of follow-up,26 patients (81.25％) enjoyed good results,5 (15.63％) had moderate disability and 1 (3.13％) had severe disability; no patients died,and no patients were having intracranial infection, having cerebrospinal leak or under vegetative state. Conclusion Microsurgical operation of anterior communicating aneurysms via subfronal approach was an effective and rapid method with minimal exposure and reliable neck clipping.
