{"created":"2023-03-01T06:46:02.124897+00:00","id":2004925,"links":{},"metadata":{"_buckets":{"deposit":"9127cf85-1874-4341-a266-382ba1a901bb"},"_deposit":{"id":"2004925","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"2004925"},"status":"published"},"_oai":{"id":"oai:nagoya.repo.nii.ac.jp:02004925","sets":["499:508:509:1677637646487"]},"author_link":[],"item_1615768549627":{"attribute_name":"出版タイプ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_9_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2023-02","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"166","bibliographicPageStart":"157","bibliographicVolumeNumber":"85","bibliographic_titles":[{"bibliographic_title":"Nagoya Journal of Medical Science","bibliographic_titleLang":"en"}]}]},"item_9_description_4":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"Fenestration of the A1 segment of the anterior cerebral artery is a rare vascular anomaly with a high risk of saccular aneurysm at the proximal end of the A1 fenestration. These aneurysms have a high risk of rupture. However, conventional surgical clipping can be technically challenging due to the anatomical characteristics. We report a case of A1 fenestration with a ruptured aneurysm wherein we successfully achieved complete obliteration of the aneurysm with a new “single-lane” clipping technique. A 64-year-old woman presented with a ruptured saccular A1 aneurysm at the proximal end of an A1 fenestration, resulting in subarachnoid hemorrhage. Microsurgical clipping was attempted; however, adequate exposure of the aneurysm could not be achieved. The recurrent artery of Heubner originated near the distal end of the lateral limb of the A1 fenestration. The lateral limb of the A1 fenestration had no perforating arteries, according to surgical examination. Thus, the aneurysm neck and lateral limb were concurrently obliterated using a nonfenestrated clip, preserving the medial limb of the A1 fenestration. The antegrade flow of the recurrent artery of Heubner was detected using the retrograde flow of the distal part of the lateral limb of the A1 fenestration during intraoperative indocyanine green video angiography. The postoperative course was uneventful without any evidence of ischemic stroke. For A1 aneurysms arising from the proximal end of the A1 fenestration, this technique may be a useful treatment option. Before using this technique, careful surgical exploration should be performed to assess the A1 perforating arteries.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_9_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.18999/nagjms.85.1.157","subitem_identifier_reg_type":"JaLC"}]},"item_9_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"Nagoya University Graduate School of Medicine, School of Medicine","subitem_publisher_language":"en"}]},"item_9_relation_43":{"attribute_name":"関連情報","attribute_value_mlt":[{"subitem_relation_type":"isVersionOf","subitem_relation_type_id":{"subitem_relation_type_id_text":"https://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/851.html","subitem_relation_type_select":"URI"}}]},"item_9_rights_12":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International","subitem_rights_language":"en","subitem_rights_resource":"http://creativecommons.org/licenses/by-nc-nd/4.0/"}]},"item_9_source_id_7":{"attribute_name":"収録物識別子","attribute_value_mlt":[{"subitem_source_identifier":"0027-7622","subitem_source_identifier_type":"PISSN"},{"subitem_source_identifier":"2186-3326","subitem_source_identifier_type":"EISSN"}]},"item_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Kubota, Yuki","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Hanaoka, Yoshiki","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Aoyama, Tatsuro","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Fujii, Yu","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Ogiwara, Toshihiro","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Seguchi, Tatsuya","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Horiuchi, Tetsuyoshi","creatorNameLang":"en"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2023-03-02"}],"displaytype":"detail","filename":"14_Kubota.pdf","filesize":[{"value":"43.9 MB"}],"format":"application/pdf","licensetype":"license_5","mimetype":"application/pdf","url":{"objectType":"fulltext","url":"https://nagoya.repo.nii.ac.jp/record/2004925/files/14_Kubota.pdf"},"version_id":"9416378f-2aa8-4799-86b3-3997641ce727"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"A1 aneurysm","subitem_subject_scheme":"Other"},{"subitem_subject":"anterior cerebral artery","subitem_subject_scheme":"Other"},{"subitem_subject":"medial lenticulostriate artery","subitem_subject_scheme":"Other"},{"subitem_subject":"nonfenestrated clip","subitem_subject_scheme":"Other"},{"subitem_subject":"subarachnoid hemorrhage","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"Single-lane clipping technique for a ruptured aneurysm of A1 fenestration of the anterior cerebral artery: a case report and literature review","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Single-lane clipping technique for a ruptured aneurysm of A1 fenestration of the anterior cerebral artery: a case report and literature review","subitem_title_language":"en"}]},"item_type_id":"40001","owner":"1","path":["1677637646487"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2023-03-01"},"publish_date":"2023-03-01","publish_status":"0","recid":"2004925","relation_version_is_last":true,"title":["Single-lane clipping technique for a ruptured aneurysm of A1 fenestration of the anterior cerebral artery: a case report and literature review"],"weko_creator_id":"1","weko_shared_id":-1},"updated":"2023-03-03T04:19:27.498683+00:00"}