Therapeutic effect and follow ⁃up outcomes of extracranial ⁃intracranial bypass and trapping in the treatment of giant intracranial aneurysms

Abstract

Objective To evaluate the therapeutic effect and follow⁃up outcomes of extracranial⁃intracranial revascularization in giant intracranial aneurysms. Methods The therapeutic effect and outcomes of bypass surgery in the treatment for 25 patients with giant intracranial aneurysms (Dec. 2006 to Oct. 2010) were analysed. The favorable rate [Glasgow Outcome Scale (GOS)], occlusion rate and mortality were evaluated. Results The favorable rate (GOS 4-5) was 56.00% (14/25), unfavorable rate (GOS 1-3) was 44.00% (11/25), morbidity was 8.00% (2/25), and occlusion rate was 12.00% (3/25). When followed up on Otc. 2011, effective rate (GOS 4-5) was 78.95% (15/19), the unfavorable rate (GOS 1-3) was 5.26% (1/19), morbidity was 15.79% (3/19), and occlusion rate was 10.53% (2/19). Conclusion The extracranial⁃ intracranial revascularization is effective in the treatment for giant intracranial aneurysms. DOI：10.3969/j.issn.1672⁃6731.2012.01.010

Keywords

• Intracranial aneurysm
• Cerebral revascularization
• Fluorescein angiography