전교통 동맥류의 미세외과적 치료법
Microsurgical Operation of Anterior Communicating Aneurysm
정취연, 조성훈, 박혜진, 김동언,
소속 상세정보
정취연 ( )
가톨릭대학교 의과대학 신경외과학교실
조성훈 ( )
가톨릭대학교 의과대학 신경외과학교실
박혜진 ( )
가톨릭대학교 의과대학 신경외과학교실
김동언 ( )
가톨릭대학교 의과대학 신경외과학교실
KMID : 0359819770060020371
Abstract
The operative techniques routinely used in our clinics of intracranial aneurysms, especially, microsurgical techniques were described.
Recent stastistics showed 272 cases of intracranial aneurysms, in which 58 cases pf anterior pcmmunicating aneurysm. were submitted to direct intracranial operations during surgical treatment. We have analyzed the factors influencing the mortality involved in aneurysm´ surgery in 58 cases of anterior communicating aneurysm.
The incidence of aneurysm in this location was 42.7%, the median time from most recent hemorrhage to surgery was 7-14 days and the mortality rate was 7.5%.
The aneurysms were also analyzed with regard to size, multiplicity, direction and origin. Approximately 70% projected inferior and 30 % superiorly. Based on this direction, we have used frontal, pterional or interhemispheric approaches.
Microsurgical technique during aneurysm surgery was stressed.
We belived that microsurgical radical aneurysmal neck clipping or ligation is the method of choice under the hypotensive anesthesia and proximal ligation of anterior communicating artery is also effective procedure in selective cases of anterior communicating arterial aneurysm.
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