Does a safe size-limit exist for unruptured intracranial aneurysms?

Does a safe size-limit exist for unruptured intracranial aneurysms?
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未破裂的颅内动脉瘤是否存在安全的尺寸限制?

DOI:
10.1007/bf01809260
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发表时间:
2005
影响因子:
2.4
通讯作者:
V. Eskesen
V. Eskesen
中科院分区:
医学3区
文献类型:
--
作者:
J. Rosenørn;V. Eskesen

文献摘要

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丹麦动脉瘤研究纳入的1076例颅内破裂动脉瘤(RA)患者中,948例经血管造影证实为RA。其中908例RA最大直径小于25 mm,162例RA <5 mm,474例RA在5-10 mm之间,272例RA在11-24 mm之间。在动脉瘤破裂后的前10天内,根据血管造影术当天的RA平均直径没有显著差异。在这些情况下,使用这种根据尺寸估计动脉瘤破裂的间接方法,我们也建议对尺寸小于或等于10 mm的未破裂动脉瘤进行手术。
SummaryOf 1076 patients with intracranial ruptured aneurysms (RA) included in the Danish Aneurysm Study, 948 had the RA verified by angiography. Of these cases 908 RA had a maximum diameter less than 25 mm. 162 RA were <5 mm, 474 and 272 were between 5–10 mm and 11–24 mm, respectively. The average diameter of the RA according to the day of angiography after the aneurysm rupture did not differ significantly within the first 10 days. In these circumstances, using this indirect method for estimation of aneurysm rupture according to the size, we also recommend that unruptured aneurysms with a size 10 mm or less should be seriously considerated for operation.