Usefulness of a simplified management scheme for paraclinoid aneurysms based on a modified classification

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	Usefulness of a simplified management scheme for paraclinoid aneurysms based on a modified classification
	Chen, Lukui ; Kato, Yoko ; Karagiozov, Kostadin L. ; Yoneda, Minoru ; Imizu, Shuei ; Hayakawa, Motoharu ; Sadato, Akiyo ; Irie, Keiko ; Negoro, Makoto ; Sano, Hirotoshi ; Chen LK(陈陆馗)
刊名	http://dx.doi.org/10.1159/000151679
	2008
关键词	INTERNAL CAROTID-ARTERY WIDE-NECKED ANEURYSMS UNRUPTURED INTRACRANIAL ANEURYSMS OPHTHALMIC ANEURYSMS MICROSURGICAL TREATMENT ENDOVASCULAR TREATMENT SURGICAL ANATOMY CAVE ANEURYSMS COILING SURGERY
英文摘要	Background: Our objective was to set up a management-oriented classification for paraclinoid aneurysms, and then design and apply a simplified management scheme according to each group defined by this classification. Methods: Paraclinoid aneurysms were classified as group I (supraophthalmic artery), group II (ophthalmic artery) and group III (infraophthalmic artery) aneurysms intradurally. Between January 2005 and December 2006, 86 cases with 89 paraclinoid aneurysms were treated. There were 35 (40.2%) aneurysms in group I (20 in group Ia, 15 in group Ib), 32 (36.8%) in group II and 20 (23%) in group III. Results: In group I aneurysms, 20 (57.1%) were treated by clipping or/and wrapping, while 15 (42.9%) were managed by coiling. In group II aneurysms, 20 (62.5%) were treated by clipping and 12 (37.5%) by coiling. The contralateral approach was performed for 4 (6%) aneurysms in groups I and II. All 20 group III aneurysms were treated by coiling. The overall rate of permanent complications was 4.6%. The rate of complete occlusion was 92.5% in surgical cases and 55.6% in endovascular ones. The overall outcomes in the treatment of paraclinoid aneurysms were excellent (GOS = 5, 95.4%). Conclusion: Based on our modified classification of paraclinoid aneurysms, a simplified management scheme was designed and applied. For group I (supraophthalmic artery) and group II (ophthalmic artery) aneurysms, surgical clipping or/and wrapping should be the first choice of treatment, while for group III (infraophthalmic artery) aneurysms, endovascular coiling should be the best modality. Additionally, individualizing the treatment planning might contribute to better results. Copyright (C) 2008 S. Karger AG, Basel.
语种	英语
出版者	CEREBROVASC DIS
内容类型	期刊论文
源URL	[http://dspace.xmu.edu.cn/handle/2288/93381]
专题	医学院－已发表论文
推荐引用方式 GB/T 7714	Chen, Lukui,Kato, Yoko,Karagiozov, Kostadin L.,et al. Usefulness of a simplified management scheme for paraclinoid aneurysms based on a modified classification[J]. http://dx.doi.org/10.1159/000151679,2008.
APA	Chen, Lukui.,Kato, Yoko.,Karagiozov, Kostadin L..,Yoneda, Minoru.,Imizu, Shuei.,...&陈陆馗.(2008).Usefulness of a simplified management scheme for paraclinoid aneurysms based on a modified classification.http://dx.doi.org/10.1159/000151679.
MLA	Chen, Lukui,et al."Usefulness of a simplified management scheme for paraclinoid aneurysms based on a modified classification".http://dx.doi.org/10.1159/000151679 (2008).