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State-of-art in surgical treatment of dissecting posterior circulation intracranial aneurysms
V. Balik, Y. Yamada, S. Talari, Y. Kei, H. Sano, D. Suyama, T. Kawase, K. Takagi, K. Takizawa, Y. Kato,
Jazyk angličtina Země Německo
Typ dokumentu časopisecké články, přehledy
- MeSH
- disekce aorty diagnóza etiologie chirurgie MeSH
- disekce arteria vertebralis diagnóza etiologie chirurgie MeSH
- intrakraniální aneurysma diagnóza etiologie chirurgie MeSH
- lidé MeSH
- mozková angiografie metody MeSH
- mozkový krevní oběh MeSH
- retrospektivní studie MeSH
- rizikové faktory MeSH
- terapeutická embolizace metody MeSH
- výsledek terapie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
Vertebrobasilar (VB) intracranial dissecting aneurysms (IDAs) pose difficult therapeutic issues and are especially among the most difficult to manage surgically. There are, however, some cases where selective aneurysm obliteration by endovascular approach is impossible or is associated with an unacceptable risk of morbidity. This is particularly true when the aneurysm is dissecting, giant, or has a large neck. In such cases, surgical treatment may be the only alternative. Optimal management of these lesions is therefore challenging and treatment decisions have to be made on a case-by-case basis. Ideal treatment should be a complete surgical excision of the lesion; however, this procedure might only be possible after distal and proximal vessel wall occlusion which might not be tolerated by the patient depending on the location of the aneurysm. Therefore, formulation of recommendations concerning the surgical strategy remains still difficult due to inconsistency of surgical outcomes. The literature describing surgical strategy of VB IDAs is varying in quality and content, and many studies deal with only a few patients. In the presented review, the authors summarize the current knowledge on the incidence, pathogenesis, clinical presentation, and diagnostic procedures with special emphasis on surgical treatment of IDAs in posterior circulation.
Department of Neurosurgery Andhra Medical College Maharanipeta Visakhapatnam India
Department of Neurosurgery Fuchu Keijinkai Hospital Fuchu city Tokyo Japan
Department of Neurosurgery Fujita Health University Banbuntane Hotokukai Hospital Nagoya Japan
Department of Neurosurgery Japanese Red Cross Asahikawa Hospital Asahikawa Japan
Department of Neurosurgery Sogo Shinkawabashi Hospital Kawasaki city Japan
Normal Pressure Hydrocephalus Center Chiba Kashiwa Tanaka Hospital Kashiwa city Chiba Japan
Citace poskytuje Crossref.org
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