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. 段国升, 朱诚. 神经外科学[M]. 北京:人民卫生出版社, 2004:322-323.
2. 王忠诚. 神经外科学[M]. 武汉:湖北科学技术出版社, 1998:585.
3. Yasargil MG. Microneurosurgery[M]. New York:Georg Thieme Verlag, 1984:23-24.
4. 荣亮, 陈谦学, 刘仁忠, 等. 多发性颅内动脉瘤的显微手术治疗[J]. 中国临床神经外科杂志, 2008, 13(10):587-589.
5. 田新华, 丁美修. 颈内动脉后交通动脉瘤69例临床分析[J]. 中华神经外科杂志, 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. 宋锦宁, 刘守勋, 王拓, 等. 动脉瘤性蛛网膜下腔出血早期病因治疗与保守治疗效果的对照研究[J]. 中国急救医学, 2007, 27(1):12-14.
8. 张微微, 张茁, 毕齐. 青年脑卒中2359例全国性多中心发病相关因素调查[J]. 中国组织工程研究与临床康复, 2003, 7(19):2694-2695.
9. 郭晓君, 谭厉声, 马龙. 新疆伊宁市新型农村合作医疗住院流向分析[J]. 新疆医科大学学报, 2013, 36(5):703-706.
10. 武琛, 许百男, 李宝民, 等. 颅内动脉瘤外科治疗的疗效分析[J]. 中华外科杂志, 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. 王辉, 石德金, 李文胜, 等. 3D-CTA与DSA在诊断和治疗颅内动脉瘤中的比较[J]. 中山大学学报·医学科学版, 2008, 29(6):733-736, 757.
17. 谢飞, 孙鸿, 毛伯镛, 等. 后交通动脉瘤的显微手术治疗[J]. 中国微侵袭神经外科杂志, 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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