Trapping and Vascular Reconstruction for Ruptured Fusiform Aneurysm in the Proximal A_1 Segment of the Anterior Cerebral Artery : Case Report
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概要
- 論文の詳細を見る
A 65-year-old woman presented with subarachnoid hemorrhage (SAH). Angiography detected a small bulge in the A_1 segment of the right anterior cerebral artery (ACA). The patient was managed conservatively. Ten days after the initial SAH, the patient suffered a second SAH. Cerebral angiography demonstrated a fusiform aneurysm in the right A_1 segment and vasospasm in the left A_1 segment. The aneurysm of the right A_1 segment was trapped and the right superficial temporal artery (STA) was end-to-end anastomosed to the distal portion of the right A_1 segment. The patient had no postoperative cerebral ischemic events. Postoperative cerebral angiography revealed that the bypass flow through the right STA perfused the right ACA territories. STA-A_1 end-to-end anastomosis can prevent cerebral ischemic events following parent vessel occlusion or microsurgical trapping for fusiform cerebral aneurysms in the A_1 segment without sufficient collateral flow to the ipsilateral ACA territory from the contralateral ACA.
- 社団法人 日本脳神経外科学会の論文
- 2006-07-15
著者
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OGAWA Akira
Department of Neurosurgery, Iwate Medical University School of Medicine
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OGASAWARA Kuniaki
Department of Neurosurgery, Iwate Medical University School of Medicine
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Ogasawara Kuniaki
岩手医科大学 脳神経外科
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Ogasawara Kuniaki
Department Of Neurosurgery Iwate Medical University
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Ogasawara Kuniaki
Department Of Neurosurgery Iwate Medical University School Of Medicine
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KASHIMURA Hiroshi
Department of Neurosurgery, Iwate Medical University
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Kashimura Hiroshi
Department Of Neurosurgery Iwate Medical University School Of Medicine
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Kinouchi Hiroyuki
Department Of Neurosurgery Akita University School Of Medicine:department Of Neurosurgery Kohnan Hos
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Ogawa Akira
Department Of Neurosurgery Iwate Medical University
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MASE Tomohiko
Department of Neurosurgery, Iwate Prefectural Hanamaki Kohsei Hospital
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ENDO Hideo
Department of Neurosurgery, Iwate Prefectural Hanamaki Kohsei Hospital
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Endo Hideo
Department Of Neurosurgery Iwate Prefectural Hanamaki Kohsei Hospital
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Mase Tomohiko
Department Of Neurosurgery Iwate Prefectural Hanamaki Kohsei Hospital
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Mase Tomohiko
Department Of Anatomy Iwate Medical University
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Ogawa Akira
Department Of Biochemistry Gunma University Graduate School Of Medicine
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Ogawa Akira
Department Of Neurosurgery Iwate Medical University School Of Medicine
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Kinouchi Hiroyuki
Department Of Neurosurgery Akita University School Of Medicine
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Ogawa Akira
Department Of Applied Chemistry Graduate School Of Engineering The University Of Tokyo
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Kashimura Hiroshi
Department Of Neurosurgery Iwate Medical University
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Ogawa Akira
Department Of Neurosurgery Central Clinical Laboratory Iwate Medical University
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Endo Hideo
Department Of Neurosurgery Iwate Prefectural Chubu Hospital
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Kikuchi Haruhiko
Department Of Neurosurgery Iwate Medical University
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OGAWA Akira
Department of Neurosurgery, Iwate Medical University
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OGASAWARA Kuniaki
Department of Neurosurgery, Iwate Medical University
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KURITA Hiroki
Hokkaido University Graduate School of Medicine
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