复合入路在多发性脑动脉瘤急性破裂期手术治疗中的应用

V. V. Krivetsky, A. A. Zavyalov, M. V. Strutsenko, V. A. Antipov, V. S. Fomin
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引用次数: 0

摘要

脑血管多发性动脉瘤,以前被认为是一种罕见的病理,由于神经可视化方法的发展,越来越多地被诊断出来。脑血管多发动脉瘤患者占所有动脉瘤患者的比例为15% ~ 45%。在25-30%的蛛网膜下腔出血患者中可发现多发动脉瘤。本组患者的手术治疗是一个相关问题,需要综合考虑。本文报道一例58岁多发性动脉瘤急性破裂期应用显微外科夹持和血管内栓塞成功治疗的临床观察。
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Hybrid approach in the surgical treatment of multiple cerebral aneurysm in the acute period of rupture
Multiple aneurysms of the cerebral vessels, previously considered a rare pathology, are increasingly being diagnosed due to the development of neurovisualization methods. The proportion of patients with multiple aneurysms of the cerebral vessels ranges from 15 to 45% among all patients with aneurysms. Multiple aneurysms are detected in 25–30% of patients with subarachnoid hemorrhage. Surgical treatment of patients in this group is a relevant problem that requires a comprehensive approach. This article presents a clinical observation of successful treatment of a 58-year-old patient with multiple aneurysms in the acute period of rupture, using microsurgical clipping and endovascular embolization.
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