Intraoperative Angiographic Assessment of Graft Patency During Extracranial-Intracranial Bypass Procedures
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概要
- 論文の詳細を見る
The use of intraoperative angiography to monitor graft patency was retrospectively reviewed in extracranial-intracranial bypass procedures. Forty-two patients underwent 43 extracranial-intracranial bypass procedures with the use of intraoperative angiography. Superficial temporal artery (STA)-middle cerebral artery (MCA) bypass was performed in 41 patients (42 procedures) with ischemic cerebrovascular diseases, and vertebral artery-MCA bypass using radial artery graft for intentional ligation of the common carotid artery in one patient with nasopharyngeal carcinoma. Intraoperative angiography provided high-quality subtraction images in every case. There were no complications due to angiography. Graft occlusion was observed intraoperatively in three cases, but an additional procedure reopened the occluded graft in all three cases. Graft patency rate was 100% after surgery. Outcome was excellent in 40 patients and good in one patient who underwent STA-MCA bypass. Intraoperative angiography provides useful information regarding graft patency during bypass surgery. Intraoperative assessment prior to wound closure allows for the recognition and correction of technical failure and decreases the risk of postoperative complications.
- 日本脳神経外科学会の論文
- 2003-10-15
著者
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NOGUCHI Shozo
Department of Neurosurgery, Ibaraki Prefectural Central Hospital
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MATSUMARU Yuji
Department of Endovascular Neurosurgery, Toranomon Hospital
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YANAKA Kiyoyuki
Department of Neurosurgery, Tsukuba University School of Medicine
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Anno Izumi
Radioiogy Institute Of Clinical Medicine University Of Tsukuba
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Noguchi Shozo
Departments Of Neurosurgery Institute Of Clinical Medicine University Of Tsukuba
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Noguchi Shozo
Department Of Neurosurgery Ibaraki Prefectural Central Hospital
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Matsumaru Yuji
Departments Of Neurosurgery Institute Of Clinical Medicine University Of Tsukuba
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Matsumaru Yuji
Department Of Endovascular Neurosurgery Toranomon Hospital
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MEGURO Kotoo
Department of Neurosurgery, Tsukuba Medical Center Hospital
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NOSE Tadao
Department of Neurosurgery, Institute of Clinical Medicine, University of Tsukuba
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Meguro Kotoo
Departments Of Neurosurgery Institute Of Clinical Medicine University Of Tsukuba
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Meguro Kotoo
Department Of Neurological Surgery Institute Of Clinical Medicine University Of Tsukuba
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Yanaka Kiyoyuki
Department Of Neurological Surgery Institute Of Clinical Medicine University Of Tsukuba
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Nose Tadao
Departments Of Neurosurgery Institute Of Clinical Medicine University Of Tsukuba
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Nose Tadao
Department Of Neurological Surgery Insititute Of Clinical Medicine University Of Tsukuba
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Fujita Keishi
Department Of Neurosurgery Ibaraki Seinan Medical Center Hospital
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Fujita Keishi
Departments Of Neurosurgery Institute Of Clinical Medicine University Of Tsukuba
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ASAKAWA Hiroyuki
Departments of Neurosurgery, Institute of Clinical Medicine, University of Tsukuba
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Asakawa Hiroyuki
Departments Of Neurosurgery Institute Of Clinical Medicine University Of Tsukuba
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Asakawa Hiroyuki
Department Of Biotechnology Faculty Of Engineering Okayama University
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