Microsurgical treatment of ruptured anterior communicating aneurysms: a clinical analysis of 35 cases
10.3760/cma.j.issn.1671-8925.2012.04.019
- VernacularTitle:显微手术治疗破裂前交通动脉瘤35例临床分析
- Author:
Jing-Feng TANG
1
;
Yong-Wang HUANG
;
Bao-Hua YANG
;
Yi-Qing DU
;
Yong-Dong YANG
;
Xiao-Kun ZHOU
;
Wan-Bin MO
;
Wen-Bo WANG
;
Le-Jian TANG
Author Information
1. 桂林医学院附属医院
- Keywords:
Anterior communicating artery aneurysm;
Microsurgery;
Pterional approach
- From:
Chinese Journal of Neuromedicine
2012;11(4):410-412
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the methods and efficacy of microscopic surgical treatment in patients with anterior communicating artery aneurysm. Methods The clinical data of 35 patients with ruptured anterior communicating artery aneurysm, admitted to our hospital from January 2008 to January 2011 and performed microneurosurgical treatment via pterional approch, were retrospective analyzed; their surgical techniques and efficacy were concluded. Results All the aneurysms in 35 patients were successfully clipped. Follow-up was performed for 3-6 months: complete recovery was achieved in 19 patients, good recovery in 11, and mild disability in 3 (including 1 with psychiatric symptom); death appeared in 2 patients. Conclusion The microsurgery via pterional approach is an effective method in treating anterior communicating artery aneurysms,resulting from its full exposure of aneurysms and few complications; adequate dissection and exposure of the entire H shaped complex body of anterior communicating artery are the keys to a successful clipping of aneurysm neck; and the selection of aneurysm clip suitable for the aneurysm and the preservation of the perforating arteries should be specially emphasized.
