Treatment and Results of Partially Thrombosed Giant Aneurysms

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概要

• 論文の詳細を見る

• Partially thrombosed giant aneurysms are one of the most difficult diseases in the neurosurgical field. We have had 18 of these cases namely, three in vertebral artery, four in basilar artery, four in internal carotid artery, five in middle cerebral artery, and two in anterior communicating artery. Nine aneurysms were clipped, two aneurysms were removed with anastomosis, two cases were treated inter-ventionally, and five cases were treated conservatively because of serpentine and fusiform types of aneurysms in internal carotid artery bifurcation. These conservatively treated patients died due to in-farction. When surgery is selected in the thrombosed giant aneurysms, the approach is the most im-portant to secure the neck. Three-dimensional computed tomography angiography was useful to plan the strategy for surgery. If the neck is big enough for placement of a clip, arterial reconstruction is the choice. The reconstruction must be done including an adequate size of the artery because of the thick wall. If the aneurysm neck is too small to reconstruct, aneurysmectomy with anastomosis is one of the choices.

• 社団法人 日本脳神経外科学会の論文

著者

• Kanno Tetsuo

  Department Of Neurosurgery Faculty Of Medicine University Nagoya Fujita Gakuen

• Shankar Krupa

  Departments Of Neurosurgery And Radiology Fujita Health University School Of Medicine

• Kanaoka Narimasu

  Departments Of Neurosurgery And Radiology Fujita Health University School Of Medicine

• Hayakawa Motoharu

  Department Of Neurosurgery Fujita Health University

• Kato Yoko

  Department Of Biomedical Laboratory Sciences School Of Health Sciences Shinshu University

• Katada Kazuhiro

  Department Of Radiogy

• Sano Hirotoshi

  Department of Chemistry Faculty of Science The University of Tokyo

• KANNO Tetsuo

  Departments of Neurosurgery , Fujita Health University

• Katada Kazuhiro

  Department of Molecular Gastroenterology and Hepatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Japan

• KATADA Kazuhiro

  Departments of Radiology, Fujita Health University

• Sano Hirotoshi

  Deparment of Chemistry, Faculty of Science, Tokyo Metropolitan University

• KANAOKA Narimasu

  Departments of Neurosurgery , Fujita Health University

• SHANKAR Krupa

  Departments of Neurosurgery , Fujita Health University

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