多发性脑动脉瘤的治疗现状(文献复习)

D. Shchehlov, O.P. Gnelyca, M. Vyval, O. E. Sviridyuk, S. Konotopchyk
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引用次数: 1

摘要

动脉瘤性蛛网膜下腔出血患者中,每4例就有1例出现多发性脑动脉瘤。目前,对于多发性脑动脉瘤的最佳治疗方法尚无明确的共识。截至2021年12月发表的论文包含了血管内治疗多发性脑动脉瘤的结果。分析治疗策略、手术方法、手术并发症及死亡率。多发性脑动脉瘤的治疗一直是血管神经外科的一个未解决的问题,特别是在最佳的治疗方法和时机上没有达成共识。目前的循证数据表明,微创技术在多发性脑动脉瘤治疗中的优势在于其并发症风险低,且可以一次手术。治疗或不治疗存在多发动脉瘤的未破裂动脉瘤的问题是一个有争议的问题。手术方法(显微手术夹或血管内盘绕)或观察的选择需要多学科的方法,考虑到破裂的风险和相应的程序。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Current experience of the treatment of multiple cerebral aneurysms (literature review)
Multiple cerebral aneurysms are found in one among four patients with aneurysmal subarachnoid hemorrhage. Nowadays, there is no clear consensus regarding the optimal treatment of multiple cerebral aneurysms. The papers published up to December 2021 containing the results of endovascular treatment of multiple cerebral aneurysms. Treatment strategy, surgical methods, complications associated with the procedure, and mortality rates were analyzed. The treatment of multiple cerebral aneurysms remains an unresolved problem of vascular neurosurgery, in particular, there is no consensus on the optimal method of treatment and timing. Current evidence-based data indicate the advantage of minimally invasive techniques in the treatment of multiple cerebral aneurysms due to the low risk of complications and the possibility of one-session procedure. The question of treat or not to treat of unruptured aneurysms in the presence of multiple aneurysms is a matter of debate. The choice between surgical methods (microsurgical clipping or endovascular coiling) or observation requires a multidisciplinary approach, taking into account the risks of rupture and the corresponding procedures.
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