دورية أكاديمية

[Microsurgical treatment of large and giant aneurysms of the internal carotid artery: analysis of application of intravascular blood aspiration technique and future perspectives].

التفاصيل البيبلوغرافية
العنوان: [Microsurgical treatment of large and giant aneurysms of the internal carotid artery: analysis of application of intravascular blood aspiration technique and future perspectives].
المؤلفون: Eliava ShSh, Filatov IuM, Sazonov IA, Iakovlev SB, Kheĭreddin AS, Podoprigora AE, Tseĭtlin AM, Sazonova OB, Kurdiumova NV, Serova NK, Okishev DN, Martirosian NL
المصدر: Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko [Zh Vopr Neirokhir Im N N Burdenko] 2009 Jul-Sep (3), pp. 3-9; discussion 9.
نوع المنشور: Clinical Trial; English Abstract; Journal Article
اللغة: Russian
بيانات الدورية: Publisher: Media Sfera Country of Publication: Russia (Federation) NLM ID: 7809757 Publication Model: Print Cited Medium: Print ISSN: 0042-8817 (Print) Linking ISSN: 00428817 NLM ISO Abbreviation: Zh Vopr Neirokhir Im N N Burdenko Subsets: MEDLINE
أسماء مطبوعة: Publication: Moskva : Media Sfera
Original Publication: Moskva, Meditsina.
مواضيع طبية MeSH: Aneurysm/*surgery , Carotid Artery Diseases/*surgery , Carotid Artery, Internal/*surgery , Microsurgery/*methods, Adult ; Aged ; Aneurysm/complications ; Aneurysm/diagnosis ; Aneurysm/mortality ; Carotid Artery Diseases/complications ; Carotid Artery Diseases/diagnosis ; Carotid Artery Diseases/mortality ; Female ; Humans ; Male ; Microsurgery/trends ; Middle Aged ; Subarachnoid Hemorrhage/diagnosis ; Subarachnoid Hemorrhage/etiology ; Suction/methods ; Treatment Outcome ; Young Adult
مستخلص: The article discusses results of surgical treatment of 82 patients with large and giant cerebral aneurysms operated in Burdenko Neurosurgical Institute (Moscow, Russia) during the recent 14 years. Special attention was given to benefits of intravascular blood aspiration (IBA) technique. This technique was proven to be very effective, allowing to clip the aneurysm in 87.8% of cases with good recovery in 41.5% and with moderate disability in 39%. Postoperative mortality was 4.9% (4 patients). The authors suggested original surgical classification of large and giant aneurysms. IBA was ineffective in cases of giant partially thrombosed aneurysms with sclerotic walls and giant aneurysms with very wide neck. These aneurysms require other surgical procedures such as embolization of ICA followed by extraintracranial bypass or high-flow bypass.
تواريخ الأحداث: Date Created: 20100122 Date Completed: 20100507 Latest Revision: 20100121
رمز التحديث: 20231215
PMID: 20092019
قاعدة البيانات: MEDLINE