首页> 外文期刊>Journal of neurointerventional surgery >Size and anatomic location of ruptured intracranial aneurysms in patients with single and multiple aneurysms: A retrospective study from a single center
【24h】

Size and anatomic location of ruptured intracranial aneurysms in patients with single and multiple aneurysms: A retrospective study from a single center

机译:单发和多发动脉瘤患者颅内动脉瘤破裂的大小和解剖位置:来自单个中心的回顾性研究

获取原文
获取原文并翻译 | 示例
获取外文期刊封面目录资料

摘要

Background and purpose: The difference in the relationship between the size of intracranial aneurysms (IAs) and their risk of rupture in patients with singe IAs versus those with multiple IAs is unclear. We sought to retrospectively analyze the size of ruptured IAs (RIAs) in patients with single and multiple IAs in order to study this relationship further. Methods: We retrospectively measured the size and location of RIAs in all patients who presented to our institute with an acute subarachnoid hemorrhage between 1 January 2005 and 31 December 2010. The IAs were classi fied by size into very small IAs or VSAs (≤3 mm), small IAs or SAs (>3 mm but ≤7 mm) and others (>7 mm). Results: 379 patients (281 with a single IA, Group 1 and 98 with multiple IAs, Group 2) with 419 treated RIAs were included in the study. VSAs and SAs constituted the majority of RIAs in both groups (33.5% and 45.2% in Group 1 and 24.6% and 50.7% in Group 2) and the mean size of the RIAs was not different between the two groups. VSAs constituted almost two-thirds of all RIAs in certain locations whereas IAs > 7 mm in size did not constitute more than a third of the RIAs at any of the arterial locations. Conclusions: The high incidence of VSAs, particularly in certain locations in both patient subgroups, suggests that current diagnostic, prognostic and therapeutic options in the management of IAs should be more tailored towards the management of these difficult-totreat lesions.
机译:背景与目的:与多发IAs相比,单发IAs患者的颅内动脉瘤(IAs)大小与其破裂风险之间的关系尚不清楚。为了进一步研究这种关系,我们试图回顾性分析单发或多发IA患者的IA破裂量(RIA)。方法:我们回顾性测量了2005年1月1日至2010年12月31日间就诊于我院的所有急性蛛网膜下腔出血患者的RIA的大小和位置。根据大小将IA分为非常小的IA或VSA(≤3 mm ),小型IA或SA(> 3毫米但≤7毫米)和其他(> 7毫米)。结果:该研究包括379名患者(其中281名患有单个IA,第1组,而98名患有多个IA,第2组),其中有419名接受治疗的RIA。两组中的RIA均以VSA和SA为主(第1组为33.5%和45.2%,第2组为24.6%和50.7%),并且两组的RIA的平均大小没有差异。在某些位置,VSA几乎占所有RIA的三分之二,而在任何动脉位置,直径大于7 mm的IA所占RIA却不超过三分之一。结论:VSA的高发生率,尤其是在两个患者亚组中的某些位置,都表明,在IA的管理中,当前的诊断,预后和治疗选择应更适合于这些难治性病变的管理。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号