支架辅助的复杂A1-A2动脉瘤盘绕术:复杂颅内动脉瘤的一种技术要求高但有用的手术

S. Gopal, S. Ganapathy
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摘要

颅内动脉瘤是一个有争议的话题。前循环动脉瘤通常被认为是外科手术的领域,然而血管内的力量可以以最小的发病率和相当的长期效果影响良好的结果。我们提出了一个复杂的大脑前动脉瘤,需要搭桥或复杂的血管重建程序。取而代之的是,我们继续进行支架辅助盘绕术,通过覆盖支架将线圈困在动脉瘤内,从而确保血管的连续性并完全控制动脉瘤。对文献的简要回顾也被添加到这个报告的角度。
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Stent-assisted aneurysm coiling of a complex A1–A2 aneurysm: A technically demanding but useful procedure in complex intracranial aneurysms
Intracranial aneurysms are a subject of controversy. Anterior circulation aneurysms are usually considered surgical territory, yet endovascular prowess can affect good results with minimal morbidity and comparable long-term results. We present a complex anterior cerebral artery aneurysm that would require either a bypass or a complex vessel reconstructive procedure. Instead, we proceeded to perform a stent-assisted coiling trapping the coils inside the aneurysm through a covered stent, thereby ensuring vascular continuity and complete aneurysm control. A brief review of the literature is also added to put this report in perspective.
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