Surgical Management of Complex Middle Cerebral Artery Aneurysms

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概要

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• Complex middle cerebral artery (MCA) aneurysms are defined in this review as aneurysms larger than 20mm, arising from the MCA bifurcation, and requiring unusual surgical approaches for their oblitera-tion. The direct surgical approaches to complex MCA aneurysms can be divided into five techniques: 1) direct clipping, 2) trapping, 3) trapping and extracranial-intracranial anastomosis, 4) excision and end-to-end anastomosis, and 5) external wrapping. The pertinent surgical anatomy, preoperative prepara-tion, intraoperative procedures, operative approaches, and potential complications will be reviewed.

• 社団法人 日本脳神経外科学会の論文

著者

• DIAZ Fernando

  Neurological Surgery Department, Wayne State University School of Medicine

• GUTHIKONDA Murali

  Neurological Surgery Department, Wayne State University School of Medicine

• GUYOT Lisa

  Neurological Surgery Department, Wayne State University School of Medicine

• VELARDO Bernard

  Anesthesia Department, Wayne State University School of Medicine

• GORDON Vickie

  Neurological Surgery Department, Wayne State University School of Medicine

関連論文

• Surgical Management of Complex Middle Cerebral Artery Aneurysms

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