2024-03-29T02:32:28Z
https://nagoya.repo.nii.ac.jp/oai
oai:nagoya.repo.nii.ac.jp:00014810
2023-11-16T06:01:09Z
499:508:509:1403
TREATMENT OF A CEREBRAL DISSECTING ANEURYSM IN ANTERIOR CIRCULATION: REPORT OF 11 SUBARACHNOID HEMORRHAGE CASES
OYAMA, HIROFUMI
KITO, AKIRA
MAKI, HIDEKI
HATTORI, KENICHI
NODA, TOMOYUKI
WADA, KENTARO
open access
Dissecting aneurysm
Internal carotid artery
Anterior and middle cerebral artery
Clipping on wrapping
Bypass surgery
This report presents 8 cases of internal carotid artery aneurysms, 1 case of a middle cerebral artery aneurysm, and 2 cases of anterior cerebral artery aneurysms, together with a discussion of the treatment of aneurysms in anterior circulation. All cases showed subarachnoid hemorrhage. Two of the 8 internal carotid artery aneurysms were trapped with a low-flow bypass; however, both patients died of an immediate hemodynamic infarction or vasospasm-induced infarction. Five of the 8 internal carotid artery aneurysms were trapped after revascularization with high flow bypass. Four of those patients were self-supporting at discharge, but one patient was discharged in a vegetative state due to the sacrifice of arterial branches which were included in the dissecting portion. One case of the dissecting aneurysm in the M2 portion of the middle cerebral artery was trapped after low-flow bypass. This patient was self-supporting at discharge. In 2 cases of anterior cerebral artery aneurysms, the lesions were first wrapped with Bemsheets, and then the aneurysmal clip was applied on the wrapped dome. Trapping following high-flow bypass is the best method for treating a dissecting aneurysm in the internal carotid artery. Trapping also can be used to treat a dissecting aneurysm of the middle cerebral artery, after low-flow bypass. Clipping on the wrapped aneurysm can also be performed successfully in the anterior cerebral artery aneurysm.
Nagoya University School of Medicine
2012-08
eng
departmental bulletin paper
VoR
https://doi.org/10.18999/nagjms.74.3-4.325
http://hdl.handle.net/2237/16743
https://nagoya.repo.nii.ac.jp/records/14810
10.18999/nagjms.74.3-4.325
http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/7434/7434.html
2186-3326
0027-7622
Nagoya Journal of Medical Science
74
3-4
325
338
https://nagoya.repo.nii.ac.jp/record/14810/files/11_Oyama.pdf
application/pdf
1.2 MB
2018-02-20