Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia · 2006
Microneurosurgical management of carotid-ophthalmic aneurysms.
Клиническое исследованиеСравнительное исследованиеСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Zhao Jizong, Wang Shuo, Zhao Yuanli, Sui Dali, Zhang Yan, Tang Jie, Lui Wei
Аннотация
OBJECTIVE: To evaluate the management of carotid-ophthalmic segment aneurysms (COA) with modern microneurosurgical techniques and instruments.
METHOD: Sixty patients with COA undergoing microsurgical clipping between March 1994 and June 2002 in the Department of Neurosurgery, Tiantan Hospital, Beijing, were analyzed retrospectively. Neuroimaging included digital subtraction angiography (DSA), MRI, CT, three-dimensional CT angiography and three-dimensional DSA. From 1998, intraoperative Doppler ultrasound monitoring and endoscope-assisted techniques were used.
RESULT: All aneurysms were completely obliterated without either recurrence or death. The morbidity rate of surgery prior to 1998 was 21.7%, which decreased to 13.7% after 1998 (mean 18.3% for the whole study period).
CONCLUSION: Preoperative planning based on neuroimaging is very valuable. Advances in neuroimaging, endoscope-assisted techniques and intraoperative Doppler ultrasound monitoring are useful to decrease postoperative complications. Microneurosurgical techniques are optimal for the management of COA with ever lessening morbidity.
METHOD: Sixty patients with COA undergoing microsurgical clipping between March 1994 and June 2002 in the Department of Neurosurgery, Tiantan Hospital, Beijing, were analyzed retrospectively. Neuroimaging included digital subtraction angiography (DSA), MRI, CT, three-dimensional CT angiography and three-dimensional DSA. From 1998, intraoperative Doppler ultrasound monitoring and endoscope-assisted techniques were used.
RESULT: All aneurysms were completely obliterated without either recurrence or death. The morbidity rate of surgery prior to 1998 was 21.7%, which decreased to 13.7% after 1998 (mean 18.3% for the whole study period).
CONCLUSION: Preoperative planning based on neuroimaging is very valuable. Advances in neuroimaging, endoscope-assisted techniques and intraoperative Doppler ultrasound monitoring are useful to decrease postoperative complications. Microneurosurgical techniques are optimal for the management of COA with ever lessening morbidity.
Предметные рубрики MeSH
AdolescentAdultAgedAngiography, Digital SubtractionCarotid ArteriesCerebral AngiographyChildEndoscopyFemaleHumansImage Processing, Computer-AssistedImaging, Three-DimensionalIntracranial AneurysmMagnetic Resonance ImagingMaleMicrosurgeryMiddle AgedNeurosurgical ProceduresOculomotor Nerve DiseasesOphthalmic ArteryRetrospective StudiesSubarachnoid HemorrhageTomography, X-Ray ComputedUltrasonography, Doppler