書誌事項
- タイトル別名
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- Injury to Perforating Artery During Aneurysmal Surgery
抄録
Injuries to perforating arteries are one of the most frequent complications during aneurysmal surgery. Extreme care should be taken to avoid them. Out of 366 cases that underwent radical surgery for cerebral aneurysms, 33 were reviewed that had circulatory impairment of perforating artery (confirmed by CT scan). Of the 33 cases, 18 were internal carotid artery (the incidence was 14.2%), 2 middle cerebral artery (1.3%), 2 horizontal portion of anterior cerebral artery (40%), 6 anterior communicating artery (5.3%), and 5 basilar artery aneurysms (9.3%).<BR>The causes of injury to perforating artery were as follows: insufficient identification of the perforator (9 cases), improper retraction of the brain or vessels (9 cases), temporary occlusion (5 cases), kinking or stenosis due to the clip (5 cases), premature rupture (2 cases), and others (3 cases). A neurological deficit remained in 39.3% of the cases; a particularly high incidence was noted in anterior thalamoperforating artery injuries, anterior choroidal artery injuries, and recurrent artery of Heubner injuries.<BR>In order to reduce perforator injuries, we must manipulate carefully, approach by the minimal brain retraction method, avoid using temporary clipping, and identify perforating artery sufficiently (e. g. using endoscope).
収録刊行物
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- Surgery for Cerebral Stroke
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Surgery for Cerebral Stroke 21 (3), 211-216, 1993
The Japanese Society on Surgery for Cerebral Stroke
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詳細情報 詳細情報について
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- CRID
- 1390282680439169408
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- NII論文ID
- 130004716677
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- ISSN
- 09145508
- http://id.crossref.org/issn/09145508
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可