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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 74(3-4)

TREATMENT OF A CEREBRAL DISSECTING ANEURYSM IN ANTERIOR CIRCULATION: REPORT OF 11 SUBARACHNOID HEMORRHAGE CASES

https://doi.org/10.18999/nagjms.74.3-4.325
https://doi.org/10.18999/nagjms.74.3-4.325
4bce46b0-02ab-4828-ac23-05ffc4b1d0f5
名前 / ファイル ライセンス アクション
11_Oyama.pdf 11_Oyama.pdf (1.2 MB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2012-08-30
タイトル
タイトル TREATMENT OF A CEREBRAL DISSECTING ANEURYSM IN ANTERIOR CIRCULATION: REPORT OF 11 SUBARACHNOID HEMORRHAGE CASES
著者 OYAMA, HIROFUMI

× OYAMA, HIROFUMI

WEKO 45792

OYAMA, HIROFUMI

Search repository
KITO, AKIRA

× KITO, AKIRA

WEKO 45793

KITO, AKIRA

Search repository
MAKI, HIDEKI

× MAKI, HIDEKI

WEKO 45794

MAKI, HIDEKI

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HATTORI, KENICHI

× HATTORI, KENICHI

WEKO 45795

HATTORI, KENICHI

Search repository
NODA, TOMOYUKI

× NODA, TOMOYUKI

WEKO 45796

NODA, TOMOYUKI

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WADA, KENTARO

× WADA, KENTARO

WEKO 45797

WADA, KENTARO

Search repository
キーワード
主題Scheme Other
主題 Dissecting aneurysm
キーワード
主題Scheme Other
主題 Internal carotid artery
キーワード
主題Scheme Other
主題 Anterior and middle cerebral artery
キーワード
主題Scheme Other
主題 Clipping on wrapping
キーワード
主題Scheme Other
主題 Bypass surgery
抄録
内容記述 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.
内容記述タイプ Abstract
出版者
出版者 Nagoya University School of Medicine
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
ID登録
ID登録 10.18999/nagjms.74.3-4.325
ID登録タイプ JaLC
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 0027-7622
書誌情報 Nagoya Journal of Medical Science

巻 74, 号 3-4, p. 325-338, 発行日 2012-08
著者版フラグ
値 publisher
URI
識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/7434/7434.html
識別子タイプ URI
URI
識別子 http://hdl.handle.net/2237/16743
識別子タイプ HDL
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