20. 頸部高位内頸動脈瘤および海綿静脈洞部内頸動脈瘤の治療経験

概要

論文の詳細を見る
A case of high cervical and a case of intracavernous sinus ICA aneurysm were treated with ICA ligation combined with STA-MCA bypass. There was good resolution of mass signs and no ischemic complications.<BR>This method of treatment is effective not only for the improvement of clinical signs but also for the prevention of post ligation ischemia.<BR>There have been some reports stating that STA-MCA bypass does not always prevent cerebral ischemia after the ICA ligation, especially in cases with critically low residual CBF during trial ICA occlusion.<BR>For these cases, gradual ICA ligation paralleling the development of bypass-flow, or more electively high flow graft bypass might be considered.
The Japanese Society on Surgery for Cerebral Strokeの論文