閉塞性脳血管障害に対する外科的処置の検討:-STA-MCA anastomosisとendarterectomy-

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概要

• 論文の詳細を見る

• Operative results for thirty cases of intracranial or extracranial occlusive diseases were analyzed and discussed. Of thirty cases of operations, twenty five external-internal arterial bypass (EIAB) operation for 17 patients having occlusive lesions in extracranial internal carotid arteries, and for 8 patients with middle cerebral arterial obstructions. Thromboendarterectomy with thromboectomy using Fogarty catheter (TE) was carried out on 5 patients with extracranial complete occlusions of internal carotid arteries. Post operative follow-up period was between 27 days and 3 months.<BR>EIAB operations were carried out on eleven completed stroke (CS) patients, of which two showed "good" post-operative results, the other two patients "fair", remaining 7 patients showing no post-operative improvement at all. On the other hand, five progressive stroke (PS) patients were operated by (EIAB) and one patient had "good" operative result, 2 patients "fair", and remaining 2 patients showing no operative effects at all. None of nine patients of TIA and RIND operated by EIAB showed any post-operative reattack at all.<BR>Four CS and one PS patients were operated by TE, of which two showed some improvement of the disorder ("good"), one slight improvement ("fair"), and one no improvement all. In remaining one PS patient in which TE was performed, it was not proved to be able to remove the thrombus for its far into intracranially contiguous firm intraarterial thrombus. According to these operative results for occlusive diseases, those patients with clinical symptoms of TIA or RIND were thought to have excellent operative indications for EIAB operations, furthermore EIAB operation was still thought to have value to be tried even for the CS or PS patients because 7 out of 16 those operated patients showed post-operative clinical improvement. Though TE operations have been reported to have occasional severe post-operative complications, no such adverse operative effect was encountered in our small number of operative cases. TE operation was therefore thought to be valuable procedure from this study, but further detail indication of the operation was still remained to be studied.

• The Japanese Society on Surgery for Cerebral Strokeの論文

著者

• 石光 宏

  国立岩国病院脳神経外科

• 難波 真平

  国立岩国病院脳神経外科

• 仲宗根 進

  国立岩国病院脳神経外科

• 九富 勝美

  南陽病院外科

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• 閉塞性脳血管障害に対する外科的処置の検討:-STA-MCA anastomosisとendarterectomy-

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