Large Paraclinoid Aneurysm With a Calcified Neck Treated by Tailored Multimodality Procedures : Case Report
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概要
- 論文の詳細を見る
A 68-year-old woman presented with a large paraclinoid aneurysm with a calcified neck causing visual symptoms. Direct clipping was hazardous because of severe calcification of the neck. Endovascular internal trapping was difficult because of the short distance between the neck and the origin of the posterior communicating artery. Proximal occlusion was likely to be less effective because of large collateral back flow to the aneurysm via the ophthalmic artery (OphA). The aneurysm was successfully treated by a combination of a high-flow bypass, intraoperative coil embolization of the parent artery including the origin of the OphA, and clipping of the internal carotid artery distal to the aneurysm. Paraclinoid aneurysms may be difficult to treat by the simple application of direct clipping, endovascular coiling, or trapping. Multimodality procedures can be tailored to treat such aneurysms.
- 日本脳神経外科学会の論文
- 2005-04-15
著者
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Miyamoto Susumu
Department Of Internal Medicine Hokuriku Central Hospital
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Satow Tetsu
Department Of Neurosurgery Kyoto University Graduate School Of Medicine Kyoto
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Hashimoto Nobuo
Department Of Neurosurgery Kyoto University Graduate School Of Medicine Kyoto
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Hashimoto Nobuo
Department Of Cerebrovascular Surgery National Cordiovascular Center
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Satow Tetsu
Department Of Neurosurgery Kyoto University Graduate School Of Medicine
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Kikuta Ken-ichiro
Department Of Neurosurgery Faculty Of Medical Sciences University Of Fukui
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Kikuta Ken-ichiro
Department Of Neurosurgery Kyoto University Graduate School Of Medicine Kyoto
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Kataoka Hiroharu
Department Of Neurosurgery Kyoto University Graduate School Of Medicine Kyoto
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Miyamoto Susumu
Department Of Neurosurgery Kyoto University Graduate School Of Medicine Kyoto
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Miyamoto Susumu
Department Of Internal Medicine Himi City Hospital
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