单纯动脉畸形的手术治疗:单中心经验。

IF 2.5 3区 医学 Q2 CLINICAL NEUROLOGY
Weidong Xia, Xiangping Zhong, Zhongying Ran, Dacheng Ding, Meng Zhang, Xiaoguang Tong
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引用次数: 0

摘要

纯动脉畸形(PAMs)是一种罕见的脑血管疾病,其特征是动脉扩张,弯曲,呈线圈状,没有静脉成分。传统上认为PAMs是良性的,通常采用保守管理。然而,随着无创成像技术的进步,它们的检测也在增加,随着脑出血或梗死病例的报道,对其良性性质和最佳治疗提出了质疑,人们开始关注其进展。在过去的9年里,我们的中心手术治疗了7例有症状的PAM患者,发现PAM并不总是良性的,特别是那些有动脉瘤或既往中风的患者。我们建议积极的手术干预,包括畸形隔离或切除,辅以脑旁路血管重建,应该是首选的策略。我们还强调需要根据个别风险因素进行有针对性的管理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Surgical treatment for symptomatic pure arterial malformations: a single-center experience.

Pure arterial malformations (PAMs) are rare cerebrovascular conditions characterized by dilated, tortuous arteries with a coil-like appearance, without venous components. Traditionally considered benign, PAMs are typically conservatively managed. However, their detection has increased with advancements in noninvasive imaging, and concerns about progression have emerged, with cases of cerebral hemorrhage or infarction being reported, raising questions about their benign nature and optimal treatment. Over nine years, our center surgically treated seven patients with symptomatic PAM, finding that PAMs are not invariably benign, especially in patients with aneurysm or prior stroke. We suggest that proactive surgical intervention, including malformation isolation or resection, complemented by cerebral bypass for vascular reconstruction, should be the preferred strategy. We also underscore the need for tailored management based on individual risk factors.

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来源期刊
Neurosurgical Review
Neurosurgical Review 医学-临床神经学
CiteScore
5.60
自引率
7.10%
发文量
191
审稿时长
6-12 weeks
期刊介绍: The goal of Neurosurgical Review is to provide a forum for comprehensive reviews on current issues in neurosurgery. Each issue contains up to three reviews, reflecting all important aspects of one topic (a disease or a surgical approach). Comments by a panel of experts within the same issue complete the topic. By providing comprehensive coverage of one topic per issue, Neurosurgical Review combines the topicality of professional journals with the indepth treatment of a monograph. Original papers of high quality are also welcome.
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