Circulatory Arrest with Profound Hypothermia During the Surgical Treatment of Large Internal Carotid Artery Aneurysm : Case Report

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概要

• 論文の詳細を見る

• 45才男性の左内頸動脈瘤のクリッピングの際に体外循環、超低体温下、一時的循環停止を併用した症例の報告である。動脈瘤は未破裂で診断され、最大径22mm後外側に向いていた。コイルによる塞栓術をまず試みたが、コイルが内頸動脈内にはみ出すため、塞栓せずに中止した。内頸動脈の一時的閉塞試験では、瞬時に意識障害と右片麻痺をきたした。手術は動脈瘤周囲を十分剥離し止血を完全にした後、脱血管2本、送血管1本を挿入し補助体外循環で低温を最低19℃まで冷却し24分間の循環停止中にクリッピングを行った。術後経過順調で元気に働いている。この方法は術野の拡大、動脈瘤剥離、クリッピングが容易になり有用である。

• 日本脳神経外科学会の論文
• 1998-11-15

著者

• Matsuda Katsuhiko

  Department Of Cardiovascular Surgery Kyoto University Hospital

• SAKAI NOBUYUKI

  Department of Chemical Engineering, Faculty of Engineering, Niigata University

• KIKUCHI Haruhiko

  Departments of Neurosurgery, Faculty of Medicine, Kyoto University

• Sakai Nobuyuki

  Department Of Chemical Engineering Faculty Of Engineering Niigata University

• NAKAHARA Ichiro

  Department of Neurosurgery, National Cardiovascular Center

• Kikuchi Haruhiko

  Department Of Neurosurgery National Cardiovascular Center

• Kikuchi Haruhiko

  Department Of Agricultural Chemistry The University Of Tokyo

• Matsuda Katsuhiko

  Department Of Cardiovascular Surgery Kyoto University Faculty Of Medicine

• Matsuda Katsuhiko

  Department Of Cardiovascular Surgery Kyoto University Medical School

• 滝 和朗

  京都大学脳神経外科学

• OSAKA Naohiro

  Department of Neurosurgery, Maizuru Municipal Hospital

• KOSHIJI Takaaki

  Department of Cardiovascular Surgery, Kyoto University Medical School

• ENOKI Yasujiro

  Department of Anesthesiology, Kyoto University Medical School

• Nakahara Ichiro

  Department Of Neurosurgery National Cardiovascular Center

• Nakahara Ichiro

  Department Of Mechanical Engineering Tokyo Institute Of Technology

• Osaka Naohiro

  Department Of Neurosurgery Kobe City General Hospital

• Enoki Yasujiro

  Department Of Anesthesiology Kyoto University Medical School

• Koshiji Takaaki

  Department Of Cardiovascular Surgery Kyoto University Medical School

• Koshiji Takaaki

  Department Of Cardiovascular Surgery Kumamoto Chuo Hospital

• Sakai Nobuyuki

  Department Of Neurosurgery National Cardiovascular Center

• Sakai Nobuyuki

  Department Of Applied Chemistry Faculty Of Engineering The University Of Tokyo

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