破裂解離性椎骨動脈りゅうに対する血管内治療―その有用性と最近経験した合併症からの教訓―

DOI 被引用文献3件 参考文献26件

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タイトル別名
  • Endovascular Treatment of Ruptured Vertebral Artery Dissecting Aneurysms: Its Usefulness and Lessons from Complications
  • ―その有用性と最近経験した合併症からの教訓―

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We evaluated the cases of 32 consecutive patients with ruptured vertebral artery dissecting aneurysm (VADA) treated in our institution during the last 4 years. The goal of treatment was to exclude the aneurysm from the circulation using Guglielmi detachable coils (GDC). Twenty-six out of 32 patients were treated within 24 hours of the initial rupture, but 17 had rebleeding before treatment.<br> The outcome of the patients depended greatly on the patient's condition (Hunt & Kosnik grade) before treatment and whether there was rebleeding. There were 4 complications including 1 case of intra-operative rupture, 2 cases of rebleeding after treatment, and 1 case of cerebral infarction. The lessons from these complications would benefit from further treatment.<br> Although this report does not describe a controlled study, we found that endovascular treatment is preferable for treating ruptured VADAs in the acute stage.<br>

収録刊行物

  • 脳卒中の外科

    脳卒中の外科 33 (3), 200-205, 2005

    一般社団法人 日本脳卒中の外科学会

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