You Position: Home > Paper
Usefulness of three-dimensional computed tomographic angiography for surgical planning in treating ruptured intracranial aneurysms
( views:321, downloads:69 )
- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF NEUROSURGERY
- Issue:
- 6
- DOI:
- 10.3760/j.issn:1001-2346.2007.06.003
- Key Word:
- 颅内动脉瘤;CTA;早期动脉瘤夹闭术
Abstract： 目的 研究单一依靠CT血管造影(CTA)资料,在超早期手术夹闭破裂颅内动脉瘤的可行性.方法 从2004年6月至2007年2月,共有125例自发性蛛网膜下腔出血病人行CTA检查.其中有78例在出血后72h内完成CTA检查,并对57例患者单一依靠CTA资料急诊行超早期动脉瘤夹闭术.结果 125例自发性蛛网膜下腔出血患者中,有78例在出血后72h内完成CTA检查,71例发现颅内动脉瘤,其中有57例行超早期开颅动脉瘤夹闭术.57例超早期开颅手术动脉瘤患者,多发动脉瘤4例,共61个动脉瘤,术中夹闭动脉瘤60个,动脉瘤包裹1个.CTA能很好地显示动脉瘤的大小、形态、同载瘤动脉及周边骨性结构的关系,为手术提供了足够的有用信息.结论 容积重建成像CTA是一种可靠、无创的快速诊断颅内动脉瘤的方法,能为破裂动脉瘤的超早期夹闭手术提供详实的影像学资料,满足在急诊状况下开颅夹闭手术所需.
- [1]沈建康.颅内动脉瘤手术治疗的现状和前景[J].2005,(11).
- [2]冯海龙,谭海斌,廖晓灵.颅内动脉瘤3D-CTA诊断效能的临床研究[J].2003,(4).
- [3]游潮,郭付有,蔡博文,等.破裂脑动脉瘤的早期手术治疗[J].2004,(3).
- [4]方兵,蒋定尧,晁明,等.应用容积重建成像三维CT血管造影方法诊断颅内动脉瘤[J].2003,(21).
- [5]Findlay JM,Anderson GB,Ashforth R,etc.Computed tomographic angiography versus digital subtraction angiography for the diagnosis and early treatment of ruptured intracranial aneurysms.[J].1999,45(6).
- [6]Hoh BL,Carter BS,Cheung AC,etc.Results of a prospective protocol of computed tomographic angiography in place of catheter angiography as the only diagnostic and pretreatment planning study for cerebral aneurysms by a combined neurovascular team.[J].2004,54(6).
- [7]Nieuwkamp DennisJ,de-Gans Koen,Algra Ale,etc.Timing of aneurysm surgery in subarachnoid hemorrhage: a systematic review of the literature.[J].2002,50(2).
- [8]Kubo Y,Ogasawara K,Kakino S,etc.Revascularization and parent artery occlusion for giant internal carotid artery aneurysms in the intracavernous portion using intraoperative monitoring of cerebral hemodynamics.[J].2006,58(1).
- [9]Harbaugh RE,Schlusselberg DS,English RA,etc.Three-dimensional computed tomographic angiography in the preoperative evaluation of cerebrovascular lesions.[J].1995,36(2).
- [10]Ramos LM,van-Leeuwen MS,Velthuis BK,etc.Subarachnoid hemorrhage: aneurysm detection and preoperative evaluation with CT angiography.[J].1998,208(2).
- [11]van-Gijn J,Rinkel GJ.Subarachnoid haemorrhage: diagnosis, causes and management.[J].2001,124(Pt.2).
- [12]Anderson GB,Ashforth R,Findlay JM,etc.Experience with computed tomographic angiography for the detection of intracranial aneurysms in the setting of acute subarachnoid hemorrhage.[J].1997,41(3).
- [13]Strauss C,Huk WJ,Kostner NC,etc.CT angiography of intracranial aneurysms: a focus on postprocessing.[J].2004,24(3).
- [14]Hashimoto K,Nozaki K,Hashimoto N.Optic strut as a radiographic landmark in evaluating neck location of a paraclinoid aneurysm.[J].2006,59(4).