颈内动脉分叉部动脉瘤的手术及血管内治疗 （英文）

作     者：Konczalla J Platz J Brawanski N Güresir E Lescher S Senft C du Mesnil de Rochemont R Berkefeld J Seifert V 

出 版 物：《中华神经外科疾病研究杂志》 (Chinese Journal of Neurosurgical Disease Research)

年 卷 期：2015年第14卷第1期

页      面：11-11页

学科分类：050302[文学-传播学] 1205[管理学-图书情报与档案管理] 12[管理学] 05[文学] 120502[管理学-情报学] 0503[文学-新闻传播学] 

主　　题：摘要 编辑部 编辑工作 读者 

摘      要：BACKGROUND Aneurysms of the internal carotid artery(ICA)bifurcation are rare,and no studies have compared patient outcomes after endovascular vs surgical *** To report the safety,efficacy,and follow-up outcome of these 2treatment options for patients with ICA bifurcation *** Patient and aneurysm characteristics,treatment results,and follow-up outcomes(at 30 months)were analyzed from patient records and review of imaging *** A total of 58 patients with ICA bifurcation aneurysms were *** interdisciplinary consensus,30 aneurysms were assigned for coiling and 28 for *** who underwent surgical clipping were younger and had larger *** patients were assigned to coiling if their aneurysms originated only from the ICA bifurcation or projected *** the combined angiographic endpoint,complete and nearly complete occlusion(Raymond-Roy I+II),similar rates of 96%(coiling)or 100%(clipping)could be ***-Roy I occlusion occurred more often after clipping(79%vs 41%coiling).Follow-up of the endovascular group showed minor recanalization of the aneurysm neck(Raymond-Roy II)in 42%.One patient(4%)showed a major recanalization(Raymond-Roy III)and needed *** incidental findings,no bleeding complications or new persistent neurological deficits occurred during *** Treatment of ICA bifurcation aneurysms after interdisciplinary assignment to clipping or coiling is effective and *** significantly more minor recanalizations after coiling,the re-treatment rate was very low,and no bleeding was observed during *** analysis revealed that origin only from the ICA bifurcation was an independent predictor of aneurysm recanalization after endovascular treatment.