Detachable balloon catheterによる頸動脈海綿静脈洞瘻の治療
スポンサーリンク
概要
- 論文の詳細を見る
A new flexible detachable balloon apparatus has been developed. It consists of three parts; a silicone balloon, a teflon introducing catheter, and stainless steel coaxial catheter. A coaxial catheter with a stainless steel tubular spring is used to afford a higher degree of flexibility for better naviga-tion in the various angulations of the intracranial vasculature. A miter valve is used as a self-sealing system at the base of the balloon. Twelve patients with carotid-cavernous fistulas (CCF) (traumatic: 10 cases, spontaneous: 2 cases) were treated using two types of detachable balloon systems, namely, Debrun's latex balloon and the authors' newly developed silicone balloon. Good results were obtained in 11 cases, although four patients required occlusion of the carotid artery. The carotid blood flow was preserved in 8 (67%) out of 12 cases. In cases of total steal shown by carotid angiography, the treatment was more difficult and more than one balloon was sometimes necessary to occlude the fistula. The neurological complications were a case of oculomotor palsy and one of visual impairment, both cases recovering within one week. Postoperative angiography revealed carotid stenosis in one case and a venous pouch in two cases. The detachable balloon techniques should be the standard form of treatment for high flow CCF, particularly if traumatic in origin, when adequate experience has been obtained by the radiological-neurosurgical team.
- 日本脳神経外科学会の論文
- 1984-09-15
著者
関連論文
- 高血圧性小脳出血の手術適応と機能予後 : 多変量解析による検討
- Diffuse brain injury の予後判定項目の検討 : Outcome predicting scale の作成
- 非ケトン性高浸透圧性糖尿病性昏睡の治療方針 : Low-dose Dopamine療法の応用
- 末梢性上小脳動脈動脈瘤の1例
- 鼻腔内に原発し頭蓋内進展を伴ったParagangliomaの1例
- 骨Paget病に合併した頭蓋骨巨細胞腫の1例
- 細菌性髄膜炎における髄液乳酸性アシドーシス : 経時的変化と動脈血酸塩基平衡への影響
- 下垂体部腫瘍術後循環動態の変動 : 尿崩症,ADHとの関連性を中心に
- 眼窩形成術を施行したvon Recklinghausen氏病に伴うorbital dysplasiaの1例
- Heavily T_2-weighted fast spin echo法を用いた,MR cisternographyの試用経験
- 特異な進展形式を呈したsolitary intracranial extracerebral gliomaの1例
- 重症頭部外傷に対する低体温法の使用経験
- Detachable balloon catheterによる頸動脈海綿静脈洞瘻の治療
- B-103 嚢胞性脊椎破裂の治療上の問題点(主題 15 脊椎破裂)
- B-69 小児の頭蓋咽頭腫の治療と予後(脳腫瘍)
- B-14 小児松果体部腫瘍(脳・神経 (II))
- B113. 乳児の脳腫瘍(脳・神経)
- 小児脳腫瘍--統計的考察
- 水頭症性痴呆と真性正常圧水頭症の概念 : 正常圧水頭症の分類用語上の厳密な定義と髄液短絡流量からみた難治性要因
- 急性期脳動脈瘤手術におけるisoproterenol, aminophyllineの使用経験
- 頭蓋内圧亢進時の髄液動態 (頭蓋内圧亢進)
- IE-20 "MARCH of SYMPTOMES"を示す後頭葉性てんかん発作の1症例
- 49. Anterior sacral meningocele を伴った高位鎖肛症例(第 13 回日本小児外科学会関東甲信越地方会)
- 脳槽ドレナージはいつ抜去すべきか