Retrograde suction decompression assisted clipping of large and giant cerebral aneurysms: our experience.

Minimally Invasive Neurosurgery Pub Date : 2011-02-01 Epub Date: 2011-04-19 DOI:10.1055/s-0030-1268479
S F Chen, Y Kato, B Subramanian, A Kumar, T Watabe, S Imizu, J Oda, D Oguri, H Sano
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引用次数: 17

Abstract

Objective: The aim of this study was to present our experience with retrograde suction decompression in clipping of large and giant cerebral aneurysms and analyze its advantages and pitfalls.

Methods: A retrospective analysis of 27 patients with large and giant intracranial aneurysms treated by suction decompression assisted clipping between November 2005 and February 2010 was done. The surgical technique and the outcome of patients were reviewed.

Results: All aneurysms were successfully clipped, and postoperative 3-D CTA or DSA revealed no major branch occlusion or residual aneurysm. There was no surgical mortality in both giant and large aneurysm groups.

Conclusion: Retrograde suction decompression is a successful adjunct to clipping of large and giant cerebral aneurysms.

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逆行抽吸减压辅助夹闭大、巨型脑动脉瘤的经验。
目的:介绍逆行吸压减压术治疗脑大、巨动脉瘤的经验,并分析其优缺点。方法:回顾性分析2005年11月至2010年2月间采用吸压减压辅助夹持术治疗的颅内大、巨型动脉瘤27例。对手术技术及患者的预后进行综述。结果:所有动脉瘤均成功夹闭,术后3-D CTA或DSA均未发现大分支闭塞或动脉瘤残留。巨动脉瘤组和大动脉瘤组均无手术死亡率。结论:逆行吸压减压术是治疗脑大、巨动脉瘤的有效辅助手段。
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来源期刊
Minimally Invasive Neurosurgery
Minimally Invasive Neurosurgery 医学-临床神经学
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