Abstract
Objective To observe the efficacy and surgical indications of extra-intracranial vascular anastomosis (bypass) in combination with endovascular embolization for the treatment of complex anterior circulation aneurysms. Methods From January 2011 to June 2014, a total of 16 patients with complex intracranial aneurysm in internal carotid artery system treated with extra-intracranial vascular anastomosis (bypass) combined with delayed intravascular embolization at the Department of Neurosurgery, Guangxi Liuzhou Worker's Hospital were enrolled retrospectively. Their treatment outcomes and surgical indications were analyzed. Results In the 16 patients, 1 had grand mal epilepsy and 1 had thalamus infarction on the surgical side after vascular anastomosis (bypass), and other patients did not have any neurological damage. Their clinical follow-up ranged from 12 to 18 months after discharge. The symptoms of the patients with preoperative headache and decreased vision disappeared. The conditions of patients with thalamus infarction were improved. The conditions of other patients were stable. DSA examination at 6 months showed that the anastomotic patency rate was 100%. The internal carotid arteries on the surgical sides still had blood flow passing through in 3 of the patients with aneurysm in the cavernous sinus segment, but the distal flow velocity was significantly slower. The aneurysms were reduced by nearly 1/2. The parent arteries of the remaining patients were occluded and the aneurysms disappeared. Conclusions The treatment outcomes of extra-intracranial vascular anastomosis (bypass) in combination with delayed partial endovascular embolism for the aneurysms in complex internal carotid artery system are satisfactory. The incidence of complications and the recurrence rate of aneurysms are low. Key words: Intracranial aneurysm; Cerebral revascularization; Embolization, therapeutic; Anterior circulation; Combined operation
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
