Microsurgery for Posterior Communicating Artery Aneurysms_West China Medical Journal

Authors：

 XIEFei , CHENZhi-yuan , ZENGJia-liang , YEYong-qiang

Department of Neurosurgery, the First People's Hospital of Ziyang, Ziyang, Sichuan 641300, P. R. China;

Corresponding?author：

Keywords：

Primary hospital; Intracranial aneurysm; Posterior communicating artery aneurysms; Microsurgery

DOI：

10.7507/1002-0179.20140205

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Objective To summarize the experience of microsurgery in primary hospital for the posterior communicating artery aneurysms (PCOAan). Methods The clinical data of 48 patients with PCOAan who underwent microsurgery from January 2008 to December 2012 were retrospectively analyzed. Results All the necks of aneurysms of 48 cases were successfully clipped, Acording to the Glasgow outcome score (GOS), the early curative effects were good in 36 cases (75.0%, GOS 4-5) poor in 10 cases (20.8%, GOS 2-3) and death in 3 cases (2.1%, GOS 1). After the operation was carried out, the operation time was shorten, aneurysm intraoperative rupture rate was lower, postoperative complications were lower, and the average medical expense was reduced; the difference was significant in 24 cases before and after the operation (P<0.05). Conclusion Microsurgery for PCOAan is an effective method which should be popularized in primary hospitals.

Citation： XIEFei, CHENZhi-yuan, ZENGJia-liang, YEYong-qiang. Microsurgery for Posterior Communicating Artery Aneurysms. West China Medical Journal, 2014, 29(4): 679-681. doi: 10.7507/1002-0179.20140205 Copy

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1. 段國升, 朱誠. 神經外科學[M]. 北京:人民衛生出版社, 2004:322-323.
2. 王忠誠. 神經外科學[M]. 武漢:湖北科學技術出版社, 1998:585.
3. Yasargil MG. Microneurosurgery[M]. New York:Georg Thieme Verlag, 1984:23-24.
4. 榮亮, 陳謙學, 劉仁忠, 等. 多發性顱內動脈瘤的顯微手術治療[J]. 中國臨床神經外科雜志, 2008, 13(10):587-589.
5. 田新華, 丁美修. 頸內動脈后交通動脈瘤69例臨床分析[J]. 中華神經外科雜志, 1994, 10(1):13-15.
6. Juvela S. Recommendations for the management of patients with unruptured intracranial aneurysms[J]. Stroke, 2001, 32(3):815-816.
7. 宋錦寧, 劉守勛, 王拓, 等. 動脈瘤性蛛網膜下腔出血早期病因治療與保守治療效果的對照研究[J]. 中國急救醫學, 2007, 27(1):12-14.
8. 張微微, 張茁, 畢齊. 青年腦卒中2359例全國性多中心發病相關因素調查[J]. 中國組織工程研究與臨床康復, 2003, 7(19):2694-2695.
9. 郭曉君, 譚厲聲, 馬龍. 新疆伊寧市新型農村合作醫療住院流向分析[J]. 新疆醫科大學學報, 2013, 36(5):703-706.
10. 武琛, 許百男, 李寶民, 等. 顱內動脈瘤外科治療的療效分析[J]. 中華外科雜志, 2010, 48(19):1496-1499.
11. Qu F, Aiyagari V, Cross DT, et al. Untreated subarachnoid hemorrhage:who, why, and when?[J]. J Neurosurg, 2004, 100(2):244-249.
12. van Gelder JM. Computed tomographic angiography for detecting cerebral aneurysms:implications of aneurysm size distribution for the sensitivity, specificity, and likelihood ratios[J]. Neurosurgery, 2003, 53(3):597-605.
13. Karamessini MT, Kagadis GC, Petsas T, et al. CT angiography with three-dimensional techniques for the early diagnosis of intracranial aneurysms. Comparison with intra-arterial DSA and the surgical findings[J]. Eur J Radiol, 2004, 49(3):212-223.
14. Dawkins AA, Evans AL, Wattam J, et al. Complications of cerebral angiography:a prospective analysis of 2,924 consecutive procedures[J]. Neuroradiology, 2007, 49(9):753-759.
15. Matsumoto M, Sato M, Nakano M, et al. Three-dimensional computerized tomography angiography-guided surgery of acutely ruptured cerebral aneurysms[J]. J Neurosurg, 2001, 94(5):718-727.
16. 王輝, 石德金, 李文勝, 等. 3D-CTA與DSA在診斷和治療顱內動脈瘤中的比較[J]. 中山大學學報·醫學科學版, 2008, 29(6):733-736, 757.
17. 謝飛, 孫鴻, 毛伯鏞, 等. 后交通動脈瘤的顯微手術治療[J]. 中國微侵襲神經外科雜志, 2011, 16(11):487-489.
18. Paine JT, Batjer HH, Samson D. Intraoperative ventricular puncture[J]. Neurosurgery, 1988, 22(6 Pt 1):1107-1109.

West China Medical Journal

Microsurgery for Posterior Communicating Artery Aneurysms

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