应用复合手术新技术治疗复杂颅内动脉瘤一例  

First domestic case of intracranial aneurysm parent artery remodeling hybrid surgery

作　　者：仇汉诚 张轶群 杜彬 林浩 金旻 陈洁 赵元立[2] 姜卫剑 

机构地区：[1]解放军第二炮兵总医院新纪元脑卒中医疗救治研究中心,北京100088 [2]首都医科大学附属北京天坛医院神经外科

出　　处：《中华医学杂志》2014年第11期869-871,共3页National Medical Journal of China

摘　　要：目的 探索颅内复杂动脉瘤治疗新方法.方法 2013年12月11日解放军第二炮兵总医院新纪元脑卒中医疗救治研究中心,对1例颅内动脉瘤患者,在全麻下进行了颅内动脉瘤载瘤动脉重塑复合手术,术中即刻、反复行脑血管造影,验证重建效果,多次调整重建方案,最终成功实施国内首例颅内动脉瘤载瘤动脉重塑复合手术.结果 成功夹闭动脉瘤,而且避免了分支血管的损伤,手术取得了较好的效果,患者预后较好.结论 复合手术是复杂颅内动脉瘤载瘤动脉重塑手术的理想选择.Objective To explore new treatment modalities for complex intracranial aneurysms. Methods Under general anesthesia, intracranial aneurysm parent artery remodeling surgery was performed along with repeated immediate intraoperative cerebral angiogram to verify the effect of revascularization and therefore adjust the operation plan accordingly. Results Aneurysm was successfully clipped without injuries of vascular branches. Prognosis was excellent. Conclusion Complex hybrid surgery is an ideal option for parent artery remodelin~ of complicated intracranial aneurvsms.

关 键 词：颅内动脉瘤 载瘤动脉重塑 复合手术 

分 类 号：R743[医药卫生—神经病学与精神病学]