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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. 83(1)

Analysis of relationship between superior hypophyseal artery visualization and preservation and postoperative visual field deficit in paraclinoid aneurysm

https://doi.org/10.18999/nagjms.83.1.21
https://doi.org/10.18999/nagjms.83.1.21
85966805-1114-4363-8936-4e7378e73fc7
名前 / ファイル ライセンス アクション
02_Otawa.pdf 02_Otawa.pdf (3.3 MB)
Item type itemtype_ver1(1)
公開日 2021-05-31
タイトル
タイトル Analysis of relationship between superior hypophyseal artery visualization and preservation and postoperative visual field deficit in paraclinoid aneurysm
言語 en
著者 Otawa, Masato

× Otawa, Masato

en Otawa, Masato

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Izumi, Takashi

× Izumi, Takashi

en Izumi, Takashi

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Nishihori, Masahiro

× Nishihori, Masahiro

en Nishihori, Masahiro

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Tsukada, Tetsuya

× Tsukada, Tetsuya

en Tsukada, Tetsuya

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Oshima, Ryosuke

× Oshima, Ryosuke

en Oshima, Ryosuke

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Kawaguchi, Tomomi

× Kawaguchi, Tomomi

en Kawaguchi, Tomomi

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Goto, Shunsaku

× Goto, Shunsaku

en Goto, Shunsaku

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Ikezawa, Mizuka

× Ikezawa, Mizuka

en Ikezawa, Mizuka

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Kropp, Asuka Elisabeth

× Kropp, Asuka Elisabeth

en Kropp, Asuka Elisabeth

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Araki, Yoshio

× Araki, Yoshio

en Araki, Yoshio

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Uda, Kenji

× Uda, Kenji

en Uda, Kenji

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Wakabayashi, Toshihiko

× Wakabayashi, Toshihiko

en Wakabayashi, Toshihiko

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アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
キーワード
主題Scheme Other
主題 superior hypophyseal artery
キーワード
主題Scheme Other
主題 paraclinoid aneurysm
キーワード
主題Scheme Other
主題 visual field deficit
キーワード
主題Scheme Other
主題 coil embolization
内容記述
内容記述 Direct surgery for paraclinoid aneurysms can result in visual field deficit owing to compromised blood flow to the superior hypophyseal artery (SHA). However, it is rarely visualized in angiography, and discus-sions regarding its preservation in the field of neuro-endovascular treatment are limited. Biplane angiographic suite with high spatial resolution has been used at our institution since 2014. Since then, there were a few cases where SHAs could be visualized via digital subtraction angiography. We retrospectively analyzed the relationship between the presences and abscence of SHAs in paraclinoid aneurysms and post-procedural visual field deficit. Sixty-three paraclinoid aneuryms treated by neuro-endovascular procedure in 2014–2018 at our neurosurgery department were analyzed. Pre- and post-procedural multiplanar reconstruction imagings of three-dimensional rotation angiography were analyzed to retrospectively investigate the SHAs. SHAs were visualized in 26 patients (41%) and the median number of pre-procedurally visualized SHAs was 0 (interquartile range 0–1). Their origins were the aneurysmal necks in 11 patients (42%). In two of the 11 cases, they were noticed before coil embolization and were able to be preserved after the procedure. In the remaining nine cases, they were not pre-procedurally detected, and coiling was normally conducted. Visual field deficit occurred in one of these nine cases, but symptoms were transient, and the patient fully recovered. Because SHAs could be visualized in >40% cases and no visual field defects occurred in cases that SHAs could be identified and preserved preoperatively, we recommend their preservation during coil embolization for paraclinoid aneurysms.
言語 en
内容記述タイプ Abstract
内容記述
内容記述 This is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (http://creativecommons.org/licenses/by-nc-nd/4.0/).
言語 en
内容記述タイプ Other
出版者
言語 en
出版者 Nagoya University Graduate School of Medicine, School of Medicine
言語
言語 eng
資源タイプ
資源タイプresource http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
ID登録
ID登録 10.18999/nagjms.83.1.21
ID登録タイプ JaLC
関連情報
関連タイプ isVersionOf
識別子タイプ URI
関連識別子 https://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/831.html
収録物識別子
収録物識別子タイプ PISSN
収録物識別子 0027-7622
収録物識別子
収録物識別子タイプ EISSN
収録物識別子 2186-3326
書誌情報 en : Nagoya Journal of Medical Science

巻 83, 号 1, p. 21-30, 発行日 2021-02
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