基底顶动脉瘤修剪：我是怎么做的。

IF 1.9 3区医学 Q3 CLINICAL NEUROLOGY

Acta Neurochirurgica Pub Date : 2025-10-06 DOI:10.1007/s00701-025-06687-1

Paolo Palmisciano, Sudhakar Vadivelu, Norberto Andaluz, Mario Zuccarello

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引用次数: 0

摘要

大约5-8%的颅内动脉瘤起源于基底动脉顶点（BAA）。鉴于基底动脉在供应脑干和脑后循环中的作用，其破裂的发病率和死亡率特别高。尽管血管内闭塞技术总体上受到青睐，从而导致外科专业知识的减少，但复杂的BAA动脉瘤仍可能需要显微外科闭塞治疗。我们描述了BAA动脉瘤的围手术期治疗方案，重点是手术解剖、入路选择和术中细微差别。

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Basilar apex artery aneurysm clipping: how I do it.

Approximately 5-8% of intracranial aneurysms arise from the basilar artery apex (BAA). Given the basilar artery role in supplying the brainstem and the posterior cerebral circulation, the rates of morbidity and mortality are especially high in case of rupture. Although endovascular occlusion techniques are overall favored, thus leading to decreasing surgical expertise, complex BAA aneurysm may still require treatment with microsurgical occlusion. We describe our institutional perioperative protocol in the management of BAA aneurysms, focusing on surgical anatomy, approach selection, and intraoperative nuances.

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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.