Surgical Clipping of a Recurrent Small Saccular Aneurysm After Repeated Coil Embolization
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概要
- 論文の詳細を見る
A 59-year-old healthy woman presented with sudden onset of severe headache. Computed tomography and digital subtraction angiography (DSA) demonstrated subarachnoid hemorrhage (grade I according to the Hunt and Hess classification) due to a ruptured small right posterior cerebral artery (PCA) aneurysm. The ruptured PCA aneurysm was completely embolized with three Guglielmi detachable coils (GDCs). However, follow-up DSA 3 months after the initial coiling confirmed refilling of the aneurysm. The aneurysm was successfully re-embolized with two GDCs. Follow-up DSA 10 months later revealed regrowth of the aneurysm. Surgical clipping was performed without compromising the parent vessels. Long-term angiographic follow up is necessary even in patients with small saccular aneurysms which are apparently completely embolized by endovascular coil treatment.
- 日本脳神経外科学会の論文
- 2005-07-15
著者
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YAMAGATA Sen
Departments of Neurosurgery, Faculty of Medicine, Kyoto University
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Hojo Masato
Department of Neurosurgery, Graduate School of Medicine, Kyoto University
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Yamagata Sen
Department Of Neurosurgery Kurashiki Central Hospital
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DOI Daisuke
Department of materials science and ceramic technology, Shonan Institute of Technology
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Hojo Masato
Department Of Neurosurgery Kurashiki Central Hospital
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YOSHIDA Kazumichi
Department of Neurosurgery, Kurashiki Central Hospital
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WATAYA Takafumi
Department of Neurosurgery, Kurashiki Central Hospital
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Wataya Takafumi
Department Of Neurosurgery Kurashiki Central Hospital
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Doi Daisuke
Department Of Neurosurgery Kurashiki Central Hospital
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Doi Daisuke
Department Of Materials Science And Ceramic Technology Shonan Institute Of Technology
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Yoshida Kazumichi
Department Of Neurosurgery Kurashiki Central Hospital
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YAMAGATA Sen
Department of Neurosurgery, Kurashiki Central Hospital
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