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首页> 外文期刊>British journal of neurosurgery >Surgical management of previously coiled intracranial aneurysms.
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Surgical management of previously coiled intracranial aneurysms.

机译：先前盘绕的颅内动脉瘤的外科治疗。

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摘要

With the increased use of endovascular therapy in the treatment of ruptured intracranial aneurysms the number of incompletely coiled aneurysms presenting for further management either due to lack of universal durability of this method or due to recurrent rupture is increasing. Since 1998, seven patients with previously coiled aneurysms underwent surgical obliteration of refractory or recurrent lesions. All patients were recorded in a prospective registry. Indications for surgery, the surgical techniques used and patient outcome were analysed. Surgery of recurrent or residual aneurysms resulted in a good outcome in four and a moderate outcome in one patient. Despite early clipping after recurrent haemorrhage after coil occlusion one of the two patients died, the other one had a moderate outcome. Our experience indicates that good results are obtainable, although technical challenges are frequently encountered.
机译：随着血管内治疗在颅内动脉瘤破裂中的应用的增加，由于这种方法缺乏通用性或复发性破裂，需要进一步治疗的不完全盘绕的动脉瘤数量正在增加。自1998年以来，有7例先前盘绕的动脉瘤患者接受了手术治疗顽固性或复发性病变。所有患者均记录在前瞻性注册表中。分析手术适应症，所用手术技术和患者预后。复发性或残留性动脉瘤的手术导致4例好转和1例中度转归。尽管在线圈闭塞后复发性出血后有早期夹闭，但两名患者中有一名死亡，另一名患者有中度预后。我们的经验表明，尽管经常遇到技术挑战，但仍可获得良好的结果。

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