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首页> 外文期刊>Journal of postgraduate medicine >Kissing anterior communicating artery aneurysms: diagnostic dilemma and management issues.
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Kissing anterior communicating artery aneurysms: diagnostic dilemma and management issues.

机译：接吻前交通动脉瘤：诊断难题和管理问题。

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摘要

Kissing aneurysms are unusual and relatively rare types of multiple intracranial arterial aneurysms. When located on the anterior communicating artery (ACoA), kissing aneurysms pose considerable diagnostic difficulty on preoperative conventional angiogram. Special angiographic views or 3D rotational angiogram are needed to make the correct diagnosis and to avoid interpreting them as multilobed or bilobed saccular aneurysms on preoperative conventional angiogram. Treatment of these aneurysms, either by clipping or coiling, needs to be individualized. Unique problems which need to be addressed during surgical clipping are high risk of rupture due to dense adhesions between the kissing aneurysms, requirement of at least two clips in a narrow working area, the aneurysm that needs to be clipped first and interference of the first clip with application of subsequent clips. The authors present a case of a 63-year-old male who had kissing ACoA aneurysms managed successfully by clipping.
机译：接吻动脉瘤是不常见的且相对罕见的多种颅内动脉瘤类型。当位于前交通动脉（ACoA）上时，接吻动脉瘤对术前常规血管造影有很大的诊断难度。需要特殊的血管造影视图或3D旋转血管造影才能做出正确的诊断，并避免在术前常规血管造影上将其解释为多叶或双叶囊状动脉瘤。对这些动脉瘤的治疗，无论是通过钳夹还是盘绕，都需要个性化。在外科手术夹固中需要解决的独特问题是：由于接吻动脉瘤之间紧密的粘附引起的高破裂风险，在狭窄的工作区域中需要至少两个夹固，首先需要被夹固的动脉瘤以及第一夹固的干扰与后续剪辑的应用。作者介绍了一个案例，该案例是一名63岁男性，他通过接吻成功地接吻了ACoA动脉瘤。

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