2. Pterional approachによる前交通動脈瘤の手術:-特に上方・後方発育動脈瘤について-

概要

論文の詳細を見る
24 cases of anterior communicating artery aneurysms with superior, posterior projection (all A. Com. A. aneurysms: 107 cases) were operated for last 5 years. Four kinds of clipping methods were used for these cases. 1. Anterior clipping (18 cases). This was most simple and basic procedures. 2. A2 spared clipping by using straight fenestrated clip (3 cases). This procedure was indicated, when aneurysmal neck was covered by ipsilateral A2. 3. A. Com. A. plastic clipping by using L-angled fenestrated clip (1 case). This procedure was indicated for aneurysms without aneurysmal neck such as aneurysmal formation of A. Corn. A. itself. 4. Direct posterior clipping (2 cases). If aneurysmal neck clipping was impossible by other procedures, direct posterior clipping was indicated for aneurysms with severe posterior projection. Neck clipping was done completely in almost all cases, and authors emphasized usefulness of fenestrated clips.
The Japanese Society on Surgery for Cerebral Strokeの論文