Analysis of coating operations for unruptured cerebral aneurysms.
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概要
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Early detection and prophylactic clipping for unruptured cerebral aneurysms are expected to improve the overall outcome of aneurysm management. However to prevent surgical complications coating operations are selected in a few cases. The aim of the persent study was to clarify the clinical significance of reinforcement 53 aneurysms (43 cases) were analyzed (anterior circulation, 48; posterior circulation, 5). Aneurysms treated with clipping only amounted to 39 (73.6%), while an incomplete clipping and coating method was chosen in 3 aneurysms, and coating with cyanoacrylate glue (Biobond<SUP>®</SUP> and Oxycell<SUP>®</SUP> in 7 (14%.3%). Late rupture was noted in a basilar tip aneurysm with incomplete exposure or the aneurysmal sac treated by a coating operation. Permanent neurological deficit was demonstrated in 2 patients (hemiparesis following clipping, 1; husky voice following coating, 1). These results suggest the importance of adequate coating for unclippable unruptured aneurysms and the surgical choice of treatment at exploration.
- 一般社団法人 日本脳卒中学会の論文
一般社団法人 日本脳卒中学会 | 論文
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