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- W2358118273 abstract "Objective To explore the operative techniques and experience in 60 cases of anterior communicating artery (ACoA) aneurysms treated with microsurgery via pterional approach. Methods 60 patients with ACoA aneurysms underwent microsurgery through pterional approach. The clinical manifestations, angiograms, and surgical operation were retrospectively analyzed. Results Preoperative digital subtraction angiography (DSA) could identify the size and shape of the AcoA aneurysms, as well as the A1 dominant signs character. Among the 60 cases with AcoA aneurysms that were all successfully occluded, 51 patients were discharged in good condition, 3 patients suffered from moderate disability, 4 were in severe disability and 2 died. Conclusion There is a close relationship between hypoplasia of Al segments and AcoA aneurysms. Early clipping of AcoA aneurysms (within 3 days) can prevent death and deterioration of condition caused by aneurysmal re-rupture. To master the microsurgical techniques and use correct treatment while aneurysm is ruptured during operation, it is important to elevate the operation achievement ratio. To clear up haematocele in the cistern and use the papaverine to wash the cistern during operation, it can relieve the secondary cerebral vasospasm, and improving the prognosis of patients." @default.
- W2358118273 created "2016-06-24" @default.
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- W2358118273 date "2007-01-01" @default.
- W2358118273 modified "2023-09-23" @default.
- W2358118273 title "Microsurgical treatment of 60 patients with anterior communicating artery aneurysms" @default.
- W2358118273 hasPublicationYear "2007" @default.
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