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首页> 外文期刊>Journal of Korean Neurosurgical Society >Successful Obliteration of Unclippable Large and Giant Middle Cerebral Artery Aneurysms Following Extracranial-Intracranial Bypass and Distal Clip Application
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Successful Obliteration of Unclippable Large and Giant Middle Cerebral Artery Aneurysms Following Extracranial-Intracranial Bypass and Distal Clip Application

机译:颅外-颅内旁路和远端夹钳应用后成功清除了无法爬升的大而巨大的大脑中动脉瘤

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摘要

Large to giant middle cerebral artery aneurysm is a challenging disease, especially when incorporating important perforating arteries. Surgical risk increases by perforator infarction and anatomical complexity. In this clinical setting, extensive consideration of surgical options is needed. The two cases described here were unruptured and had rather stable wall. Because of their large and giant size, hardness and incorporated arteries, it was not affordable to isolate them by means of clipping or trapping. The procedure as the alternative to conventional treatment modalities, extracranial-intracranial bypass followed by clipping of only the efferent artery successfully treated the aneurysms.
机译:大到巨大的大脑中动脉瘤是具有挑战性的疾病,尤其是在合并重要的穿支动脉时。穿孔性梗塞和解剖结构复杂会增加手术风险。在这种临床情况下,需要广泛考虑手术选择。此处描述的两个案例均未破裂,墙体相当稳定。由于它们的大而巨大的尺寸,硬度和合并的动脉,通过钳夹或诱捕来隔离它们是无法承受的。作为常规治疗方式的替代方法,颅外-颅内旁路术随后仅夹闭出射动脉已成功治疗了动脉瘤。

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