Should we treat aneurysms in perforator arteries from the basilar trunk? Review of 49 cases published in the literature and presentation of three personal cases
Should we treat aneurysms in perforator arteries from the basilar trunk? Review of 49 cases published in the literature and presentation of three personal cases
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DOI：
10.1177/1591019917734531
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发表时间：
2018-02-01
影响因子：
1.7
通讯作者：
Sedat, Jacques
中科院分区：
文献类型：
--
作者：
Chau, Yves;Sachet, Marina;Sedat, Jacques
基底动脉干穿支动脉瘤是罕见的。他们的诊断和治疗很困难、有争议且具有挑战性。对52例病例（文献中记录的49例和3例个人病例）的分析清楚地表明，动脉瘤未闭塞患者的再出血率为15%，治疗患者的再出血率为0%（p < 0.05）。最有效的治疗方法，也是并发症最少的方法，是穿过基底动脉干的双支架植入术。
Basilar trunk perforator artery aneurysms are rare. Their diagnosis and treatment are difficult, controversial, and challenging. Analysis of 52 cases (49 documented in the literature and three personal cases) clearly shows a re-bleeding rate of 15% in patients whose aneurysm has not been occluded and 0% in treated patients (p < 0.05). The most effective treatment, and the one that presents the least complication, is double-stenting across the basilar trunk.