External Carotid Endarterectomy with Patch Angioplasty Using Internal Jugular Vein : Two Case Reports
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概要
- 論文の詳細を見る
外頸動脈内膜剥離術後に頸静脈壁を用いてpatch angioplastyを施行した2例を報告する。両症例は一過性の左片麻痺で来院し、CTで多発脳梗塞を認めた。脳血管撮影では右内kleitou頸静動脈は閉塞し、外頚動脈から眼動脈を介し頭蓋内が潅流されていた。その外頸動脈起始部に症例1では約70%、症例2では約90%の狭窄を認めた。外頸動脈起始部狭窄に対し内膜剥離術を施行し、内頸動脈のを処理すると同時に内頸静脈壁を用いて血管形成を行った。外頸動脈は内頸動脈と比して細く、剥離術後に内頸静脈を用いて血管形成する方法は比較的容易で効果的であった。外頸動脈の内膜剥離術に関する注意点をふまえ報告する。
- 日本脳神経外科学会の論文
- 1999-08-15
著者
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Noguchi Shozo
幸手総合病院 脳神経外科
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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
Department Of Neurological Surgery Institute Of Clinical Medicine University Of Tsukuba
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谷中 清之
幸手総合病院 脳神経外科
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Yanaka Kiyoyuki
Neurosurgery Division Satte General Hospital
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Nose Tadao
Department Of Neurological Surgery Insititute Of Clinical Medicine University Of Tsukuba
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MARUNO Hiroko
幸手総合病院 脳神経外科
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MEGURO Kotoo
Department of Neurosurgery, Tsukuba Medical Center
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