Complete Neck Clipping of Internal Carotid-Posterior Communicating Artery Aneurysms Using Bayonet-Shaped Aneurysm Clips : Technical Note
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概要
- 論文の詳細を見る
Neck clipping for internal carotid-posterior communicating artery (IC-PC) aneurysms using standard straight, angled, or curved clip may result in remnant aneurysm neck. We describe complete neck clipping of IC-PC aneurysms using a bayonet-shaped clip. The bayonet-shaped clip is applied perpendicular to the long axis of the internal carotid artery (ICA), and the blades of the clip are inserted between the aneurysm neck and the ICA. Using the clip applicator, the clip is gradually rotated counterclockwise or clockwise for left or right ICA aneurysm, respectively, so that the distal and shank portions of the clip blade are located at the aneurysm neck in the posterior communicating artery (Pcom) and ICA, respectively. As a result, the distal flexure of the clip blade fits the junction of the ICA and Pcom. This technique was used in four patients with ruptured ICA aneurysms and five patients with unruptured ICA aneurysms. Postoperative cerebral angiography demonstrated no residual aneurysm neck and preservation of the Pcom in all patients. This technique is useful for cases of IC-PC aneurysm involving the origin of the Pcom.
- 社団法人 日本脳神経外科学会の論文
- 2007-06-15
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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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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KUBO Yoshitaka
Department of Neurosurgery, Iwate Medical University School of Medicine
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Ogawa Akira
Department Of Neurosurgery Iwate Medical University
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Kubo Yoshitaka
Departments Of Neurosurgery Iwate Medical University School Of Medicine
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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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Kubo Yoshitaka
Department Of Neurosurgery Iwate Medical University School Of Medicine
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Kubo Yoshitaka
Department Of Neurosurgery Iwate Medical University
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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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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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