Microsurgical treatment of ruptured anterior communicating artery aneurysms
10.3760/cma.j.issn.1001-2036.2013.05.002
- VernacularTitle:前交通动脉破裂动脉瘤的显微外科治疗
- Author:
Bing ZHAO
;
Yongsheng XIE
;
Tao JIANG
;
Dejun WU
;
Ping LI
;
Jie SHEN
- Publication Type:Journal Article
- Keywords:
Anterior communicating artery;
Intracranial aneurysms;
Modified pterional approach;
Microneurosurgery
- From:
Chinese Journal of Microsurgery
2013;36(5):422-425
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the microsurgical treatment strategy of ruptured anterior communicating artery aneurysms.Methods From September 2009 to February 2013,thirty-three patients with ruptured anterior communicating artery aneurysms were treated with microsurgical clipping via modified pterion approach.The clinical and follow-up data were analyzed retrospectively.Results At 3 to 44 months period followed-up after microsurgical clipping of ruptured anterior communicating artery aneurysms were obtained in 32 patients.According to Glasgow Outcome Score,the curative effects score were 5 in 28 cases,four in 2 cases,three in 1 case and death in 1 case.Conclusion Microsurgical clipping of ruptured anterior communicating artery aneurysms via modified pterional approach was an effective method with sufficient exposure.It has less invasiveness to the brain tissue,reliable neck clipping and satisfactory results.Safety and effectiveness of this procedure are based on preoperative radiological evaluation of three-dimensional morphological specificity of aneurysms,identification of the parental arteries and its branches,as well as temporary proximal occlusion.
