くも膜下出血急性期にｈｉｇｈ　ｆｌｏｗ　ｂｙｐａｓｓを行った破裂内頚動脈瘤の手術―特に内頚背側型動脈瘤の治療について―

DOI 被引用文献2件 参考文献32件

書誌事項

タイトル別名
  • The Role of High Flow Bypass Using Radial Artery Graft in the Treatment of Ruptured Internal Carotid Artery Aneurysm
  • ―特に内頚背側型動脈瘤の治療について―

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抄録

We report our preliminary experience using radial artery graft bypass in patients with ruptured internal carotid artery aneurysm. The following types of 12 ruptured internal carotid artery aneurysms were treated: dorsomedial aneurysms with ill-defined necks (in 8 patients); tiny paraclinoid aneurysms projected in the superior (n=1) and ventral (n=1) direction; fusiform aneurysm (n=1) located between the C1 segment and M1 segment; and an IC-PC aneurysm (n=1) previously clipped 15 years before. Bypass procedures employed were EC-radial artery-M2 bypass in 6, and temporary using RA-M2 bypass (i.e., forearm vascular pedicle) in 6. Complete obliteration of aneurysms with no ischemic complication was achieved in all dorsomedial internal carotid aneurysms. Graft failure occurred in 1 case. Our experience emphasizes the importance of achieving vascular anastomosis in various clinical settings. We also describe a proposed strategy to obliterate blister aneurysm.<br>

収録刊行物

  • 脳卒中の外科

    脳卒中の外科 38 (4), 207-215, 2010

    一般社団法人 日本脳卒中の外科学会

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