Management of vascular encasement in parasellar meningiomas—How I Do It

IF 1.9 3区医学 Q3 CLINICAL NEUROLOGY

Acta Neurochirurgica Pub Date : 2025-05-14 DOI:10.1007/s00701-025-06502-x

Sorin Aldea, Floriana Halimi, Caroline Le Guerinel

引用次数: 0

Abstract

Background

Tumours of the parasellar area may engulf the internal carotid artery(ICA) and its branches which may preclude complete resection and may be a risk factor for ischemic complications.

Methods

We present a surgical technique based on a stepwise identification of the arterial branches which may enable a complete resection in selected cases even when complete encasement of the ICA is present on preoperative images.

Conclusion

Resection of tumours encasing the major vascular structures should be systematically attempted while continuously weighing the delicate balance between the risk of vascular injury and the extent of resection.

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鞍旁脑膜瘤血管包膜的处理——我是怎么做的

鞍旁区肿瘤可能吞噬颈内动脉及其分支，这可能妨碍完全切除，并可能是缺血性并发症的危险因素。方法：我们提出了一种基于逐步识别动脉分支的手术技术，即使在术前图像上ICA完全被包裹，也可以在选定的病例中进行完全切除。结论在切除主要血管结构的肿瘤时，应系统地尝试切除，同时不断权衡血管损伤风险与切除范围之间的微妙平衡。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Neurochirurgica 医学-临床神经学

CiteScore

4.40

自引率

4.20%

发文量

342

审稿时长

1 months

期刊介绍： The journal "Acta Neurochirurgica" publishes only original papers useful both to research and clinical work. Papers should deal with clinical neurosurgery - diagnosis and diagnostic techniques, operative surgery and results, postoperative treatment - or with research work in neuroscience if the underlying questions or the results are of neurosurgical interest. Reports on congresses are given in brief accounts. As official organ of the European Association of Neurosurgical Societies the journal publishes all announcements of the E.A.N.S. and reports on the activities of its member societies. Only contributions written in English will be accepted.