Giant Middle Cerebral Artery Aneurysms: A 55-Patient Seriesстатья
Информация о цитировании статьи получена из
Web of Science,
Scopus
Статья опубликована в журнале из списка Web of Science и/или Scopus
Дата последнего поиска статьи во внешних источниках: 1 декабря 2021 г.
Аннотация:Methods: The data for 55 patients treated for MCA GA (≥ 25 mm) at the N.N. Burdenko NMRCN between 2010 and 2019 were analysed.
Results: The GAs were located in the M1 segment in 11 (20%) patients, MCA bifurcation in 33 (60%), M2 in 7 (12.7%) and M3 in 4 (7.3%). There were 32 (58.2%) saccular and 23 (41.8%) fusiform GAs. MCA GAs were treated with neck clipping (50.9%), clipping with the artery lumen formation (3.6%), bypass surgeries (34.5%), wrapping (3.6%) and endovascular surgery (7.3%). A worsening of the neurologic state in the perioperative period was observed in 50.9% of patients. The complete closure of GA was achieved in 78.2%. Surgery-related mortality was 1,8%. The long-term outcome was favourable in 76.9% of patients. Surgery-related and disease-related plus treatment failures-related mortality was 9,6%.
Conclusions: Microsurgical clipping and bypass surgery are the main operative interventions for MCA GA treatment. These operations are technically complex and are followed by a relatively high percentage of complications.