Application of 3D–DSA simulated surgical path in intracranial aneurysm clipping surgery

Background:Intracranial aneurysm is a common cerebrovascular disease, which cause wide concern by neurosurgeons. The 3D-DSA images simulated surgical path may improve the success rate of operation in bridging surgery of emergency ruptured intracranial aneurysms.Methods: Eighteen patients with intracranial ruptured aneurysms that underwent craniotomy clipping surgery from January 2015 to January 2016 were included in this study. All patients were diagnosed with ruptured aneurysm and SAH, and 3 of them had concomitant hematoma. All patients were clipped in 3 days after diagnosis. Before clipping, the relevant information and data of the 3D-DSA images simulated surgical path were observed to guide intracranial aneurysm clipping surgery.Results: According to the information of the 3D-DSA images simulated surgical path, all aneurysms were clipped successfully. 1 patient died of vessel spasm, and the remaining patients recovered well.Conclusions: The 3D-DSA images simulated surgical path could provide surgeons with a lot of information in bridging surgery of emergency ruptured intracranial aneurysms,and is significant to improve the success rate of operation.

颅内动脉瘤103例分析

目的探讨颅内动脉瘤的临床表现及诊治经验。方法 回顾性分析2007年10月至2010年3月我院103例颅内动脉瘤患者发病、临床表现、影像资料。结果 103例患者中共查出126个颅内动脉瘤。其中单发84例,多发性颅内动脉瘤19例(15例有2个动脉瘤,4例有3个动脉瘤)。1例合并动静脉畸形,1例合并颈内动脉颅外段夹层动脉瘤,1例合并烟雾病。未破裂的颅内动脉瘤15例,占14.6%(15/103)。后交通动脉瘤最多见,占32.5%(41/126)。动脉瘤直径1.5～35mm不等,其中2.0～4.9mm者占61.9%(78/126)。结论 采用适宜的影像学检查及时诊断颅内动脉瘤并及时血管内治疗,可明显降低致死率和致残率。