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《Chinese Journal of Cenebrovascular Diseases》 2004-01
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Retrograde suction decompression for the treatment of giant intracranial aneurysms

LIUXiang-zhen , LI Jing-wen, CHEN Hui-rong, LIN Cheng-hai Department. of Neurosurgery , 1st Affiliated Hospital of Harbin Medical University, Harbin 150001, China.  
objectiveTo present and evaluate the treatment and follow-up of 3 giant intracranial a-neurysms by Retrograde suction decompression. Methods The operative technique of retrograde suction decompression of giant intracranial aneurysm in 3 patients was summarized and the prognosis were followed up. Results Three giant intracranial aneurysms were easily clipped by using a combination of standard pterional craniotomy and cervical carotid retrograde aneurysmal decompression. One of the patients refused reexamination of DSA after operation and had dizziness occasionally, a slight improvement of left eyesight and Glasgow Outcome Scale (GOS) was grade 5 at 9-month follow-up. The second one had an incomplete hemiplegia on the left limb and CT scan showed that there was ischemia at the region of the right basal ganglia, and DSA showed there was a slight stenosis at the occlusive site of the right cervical carotid and the patent artery was patent, and GOS was grade 4 at 6-month follow-up. The third one had a good outcome after operation and The reexamination of CTA showed the patent artery was patent and the aneurysm was clipped completely and the patent artery was seen clearly, GOS was grade 5 when she was out of hospital. Conclusion Retrograde suction decompression may make some unclip-pable giant intracranial aneurysms or difficult to clip it become clippable, it was one of safe and effective means for the treatment of giant intracranial aneurysms.
【CateGory Index】: R739.4
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