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首页> 外文期刊>Acta Neurochirurgica >Trapping and resection of cortical MCA mycotic aneurysm in eloquent area
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Trapping and resection of cortical MCA mycotic aneurysm in eloquent area

机译：雄性地区皮质MCA肌科动脉瘤的诱捕和切除

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Abstract Background Mycotic aneurysms, although well recognized, are relatively rare intracranial vascular pathology. These aneurysms are typically located in distal cortical vessels. When these aneurysms are located in eloquent cerebral territories, they may become challenging to treat. Eloquent location may necessitate intraoperative angiographic evaluation to verify complete aneurysmal occlusion/obliteration and preservation of normal adjacent vasculture. Recently, ICG videoangiography has become a widely used intra-operative adjunct and is an important tool used to assess complete occlusion and vessel patency at the conclusion of clip reconstruction. In this report, we outline the comprehensive and concurrent utilization of both vascular imaging modalities to ensure safe and complete occlusion of a mycotic aneurysm. Methods We describe our experience with a patient with left M4, Rolandic, enlarging mycotic aneurysm that was treated in a comprehensive fashion with microsurgery and intra-operative angiography (IA). Conclusions ICG videoangiography, in combination with concurrent intraoperative angiography in the setting of complex vascular lesions, may support intraoperative decision-making and provide demonstration of complete occlusion in an immediate fashion. A hybrid operative suite allows for high-quality imaging confirming complete resection.
机译：摘要背景毒性动脉瘤虽然众所周知，但具有相对罕见的颅内血管病理学。这些动脉瘤通常位于远端皮质血管中。当这些动脉瘤位于雄辩的脑房区时，它们可能会挑战治疗。雄辩的位置可能需要术中血管造影评估，以验证完整的动脉瘤闭塞/灭菌和保存正常相邻的血管族。最近，ICG显像造影已成为一种广泛使用的术中辅助，并且是用于评估夹子重建结束时完全闭塞和血管通畅的重要工具。在本报告中，我们概述了血管成像方式的全面和并发利用，以确保安全和完全闭塞毒性动脉瘤。方法我们将患者与左侧M4，Rolandic，扩大毒性动脉瘤的体验描述，以微观方式和手术内血管造影（IA）综合治疗。结论ICG显影术与在复杂血管病变的设置中同时术中血管造影，可以支持术中决策，并以立即时尚展示完全闭塞。混合手术套件允许高质量的成像确认完全切除。

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