Clippingの不適応な脳動脈瘤に対する電気的凝固血栓法の試み

概要

論文の詳細を見る
Direct obliteration of the intracranial aneurysm with copper electric thrombosis through craniotomy is an effective procedure in cases where clipping of the aneurysm is inapplicable. Five intracranial giant aneurysms 2 to 3 cm in diameter were thrombosed using a copper wire. Two were on the internal carotid artery at the posterior communicating junction, one on the internal carotid artery at the ophthalmic junction, and the others on the cavernous portion. The follow-up was satisfactory. All of the cases had late arteriograms showing permanent thrombosis; two with complete obliteration of the aneurysm and three with 25 percent refilling. No cases bled during the follow-up period, which ranged from 4 to 22 months. In three out of five patients, third nerve palsy was present preoperatively. Two made a complete recovery and one showed ophthalmoplegia postoperatively.
日本脳神経外科学会の論文
1983-10-15