Surgery for Cerebral Stroke最新文献_第7页

同一術者による前交通動脈瘤clippingのpterional approachにおけるapproach sideおよび手術合併症の検討同一术者对前交通动脉瘤clipping的pterional approach的approach side及手术并发症的探讨

Surgery for Cerebral Stroke Pub Date : 2012-05-31 DOI: 10.2335/SCS.40.183

敏樹田中, 郁子布施, 一良渡邊

引用次数: 0

Modality and Timing of Postoperative Evaluation after Clip Placement for Ruptured Intracranial Aneurysms: Significance of Postoperative Day 1 Imaging with CT Angiography 颅内动脉瘤破裂夹片置入术后评价的方式和时机:术后第1天CT血管造影的意义

Surgery for Cerebral Stroke Pub Date : 2012-05-31 DOI: 10.2335/SCS.40.164

K. Tsutsumi, Tetsuya Umeno, Y. Morofuji, T. Hirao, I. Kawahara, H. Takahata, Tomonori Ono, K. Toda, H. Baba, M. Yonekura

{"title":"Modality and Timing of Postoperative Evaluation after Clip Placement for Ruptured Intracranial Aneurysms: Significance of Postoperative Day 1 Imaging with CT Angiography","authors":"K. Tsutsumi, Tetsuya Umeno, Y. Morofuji, T. Hirao, I. Kawahara, H. Takahata, Tomonori Ono, K. Toda, H. Baba, M. Yonekura","doi":"10.2335/SCS.40.164","DOIUrl":"https://doi.org/10.2335/SCS.40.164","url":null,"abstract":"To evaluate the efficacy and safety of CT angiography (CTA) performed at immediate early postoperative periods in patients with ruptured intracranial aneurysm, we retrospectively analyzed the modality and timing of postoperative evaluation following clip placement for ruptured intracranial aneurysms in our institution during the last decade. Between 2001 and 2007 (Phase A: 281 cases), postoperative evaluation with digital subtraction angiography was performed on or after 14 postoperative days (POD) in the majority of the subjects, except for some postoperative imaging that was done earlier. Re-ruptures were observed in five cases (1.8% of total cases in Phase A), of which three aneurysms bled within two weeks after surgery. Since 2008, we have used the CTA for evaluation in the early postoperative period (Phase B: 102 cases). In particular, after 2009, all patients underwent immediate (POD 1) CTA to exclude aneurysm remnants as early as possible. No adverse incidence was observed during this protocol. In the Phase B period, two small remnants of anterior communicating artery aneurysms (AcomAN, 2.0% of all cases in Phase B) were detected in the CTA on POD 1. The patients in whom aneurysm remnants were found immediately underwent a second surgery to prevent re-rupture. Our findings suggest that immediate postoperative examination (POD 1) by CTA is beneficial to detect an incomplete closure of aneurysms before the postoperative vasospasmic phase. CTA was","PeriodicalId":131030,"journal":{"name":"Surgery for Cerebral Stroke","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125535525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

同一術者による浅側頭動脈─中大脳動脈吻合術（STA-MCAバイパス）の手術成績と手術手技上の問題点同一术者的颞浅动脉-中大脑动脉吻合术(STA-MCA旁路)的手术成绩和手术技术上的问题点

Surgery for Cerebral Stroke Pub Date : 2012-05-31 DOI: 10.2335/SCS.40.159

孝親青木, 知也宮城, 靖治竹内, 優子広畑, 基浩森岡

引用次数: 0

高位病変CEAに対する3D-CTA+2D-CT合成画像支援の有用性と限界 3d - cta + 2d - ct合成图像辅助对高级病变CEA的有效性和局限性

Surgery for Cerebral Stroke Pub Date : 2012-03-31 DOI: 10.2335/SCS.40.100

和田孝次郎, 弘苗代, 裕彦有本, 誠竹内, 直樹大谷, 秀夫長田, 公洋長谷, 弘明小林, 隆鈴木, 克司島

引用次数: 1

The Results of Interhemispheric Approach for Unruptured Anterior Communicating Artery Aneurysms 半脑内入路治疗未破裂前交通动脉瘤的效果

Surgery for Cerebral Stroke Pub Date : 2012-03-31 DOI: 10.2335/SCS.40.106

M. Katsuno, R. Tanikawa, Takanori Miyazaki, N. Ota, K. Noda, H. Kubota, N. Izumi, M. Hashimoto

{"title":"The Results of Interhemispheric Approach for Unruptured Anterior Communicating Artery Aneurysms","authors":"M. Katsuno, R. Tanikawa, Takanori Miyazaki, N. Ota, K. Noda, H. Kubota, N. Izumi, M. Hashimoto","doi":"10.2335/SCS.40.106","DOIUrl":"https://doi.org/10.2335/SCS.40.106","url":null,"abstract":"There are two surgical approaches to anterior communicating artery aneurysms: the pterional approach and the interhemispheric approach. We have performed the interhemispheric approach for all cases of anterior communicating artery aneurysms because it is possible to obtain a wide operative field and to confirm the anatomical structure of the anterior communicating artery complex. It is relatively easier in interhemispheric approach to confirm and preserve the hypothalamic arteries arising from Acom complex, even in a superior or posterior projecting aneurysm. We reviewed the interhemispheric approach for the unruptured anterior communicating artery aneurysms between 1996 and 2007 in our institution and analyzed complications in 47 cases. Complete obliteration of the aneurysm was confirmed in all 47 cases during at least three years after operation. Diffusion-weighted MRI imaging disclosed ischemic lesions in one patient. Symptomatic epilepsy resulted in one patient from a right frontal lobe contusion. The other complications were anosmia in two cases and liquorrhea in one case. Based on our experience, we improved the interhemispheric approach. We have not experienced cases of the complication since 2008. We describe the problems and technical points of the interhemispheric approach for anterior communicating artery aneurysms.","PeriodicalId":131030,"journal":{"name":"Surgery for Cerebral Stroke","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114674081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

もやもや病の病態, 診断と治療 : 最近の知見と今後の課題郁结病的病理，诊断和治疗:最近的知识和今后的课题

Surgery for Cerebral Stroke Pub Date : 2012-03-31 DOI: 10.2335/SCS.40.77

黒田敏, 杉山拓, 川堀真人, 笹森徹, 栗栖宏多, 内野晴登, 七戸秀夫, 中山若樹, 宝金清博

引用次数: 0

径5mm未満の無症候性小型未破裂脳動脈瘤に対する診療の現状 : 単一施設と長崎くも膜下出血研究会未破裂脳動脈瘤 data base から直径小于5mm的无症状小型未破裂脑动脉瘤的诊疗现状:来自单一设施和长崎蛛网膜下出血研究会未破裂脑动脉瘤data base

Surgery for Cerebral Stroke Pub Date : 2012-01-31 DOI: 10.2335/SCS.40.28

堤圭介, 梅野哲也, 諸藤陽一, 川渕一郎, 高畠英昭, 小野智憲, 戸田啓介, 馬場啓至, 米倉正大, 眞木雄上之郷, 永田泉

引用次数: 0

ワーファリン内服中の頭蓋内出血患者に対するRecombinant Factor VIIaの使用経験口服华法林的颅内出血患者使用Recombinant Factor VIIa的经验

Surgery for Cerebral Stroke Pub Date : 2012-01-31 DOI: 10.2335/SCS.40.14

潔考高橋, 陽央西本, 義仁長谷川, 正敏根岸, 敦子竹内

引用次数: 0

On the wall typeの硬膜動静脈瘻の1例 1例On the wall type硬膜动静脉瘘

Surgery for Cerebral Stroke Pub Date : 2011-11-30 DOI: 10.2335/SCS.39.432

久勝伊東, 直也桑山, 正圭高, 宗司岡本, 博道山本, 俊郎遠藤

引用次数: 1

くも膜下出血をきたしたcarotid rete mirabileに合併した後交通動脈動脈瘤の1例蛛网膜下出血carotid rete mirabile合并后交通动脉瘤1例

Surgery for Cerebral Stroke Pub Date : 2011-11-30 DOI: 10.2335/SCS.39.437

Hiroyuki Sato, Takayuki Koizumi, Y. Tsukamoto, Shinji Endo, Tsutomu Kobayashi

{"title":"くも膜下出血をきたしたcarotid rete mirabileに合併した後交通動脈動脈瘤の1例","authors":"Hiroyuki Sato, Takayuki Koizumi, Y. Tsukamoto, Shinji Endo, Tsutomu Kobayashi","doi":"10.2335/SCS.39.437","DOIUrl":"https://doi.org/10.2335/SCS.39.437","url":null,"abstract":"We report a case of true posterior communicating artery (Pcom) aneurysm associated with carotid rete mirabile presenting subarachnoid hemorrhage. A 77-year-old woman was admitted to our hospital because of disturbance of consciousness. Computed tomography showed subarachnoid hemorrhage. Cerebral angiography demonstrated 2 aneurysms arising from the left Pcom and left posterior cerebral artery (P1–P2 junction). The right carotid angiography demonstrated an abnormal vascular network around the cavernous portion of internal carotid artery (ICA), so-called “carotid rete mirabile.” The right ICA was aplastic and the left ICA was hypoplasic. Two days after onset, coil embolization was performed. As a result, the left P1–P2 junctional aneurysm was almost completely occluded, but it was impossible to occlude the left Pcom aneurysm. Twenty-four days after onset, neck clipping of the responsible left Pcom aneurysm was carried out through the left subtemporal approach. Postoperatively, the patient experienced temporary left oculomotor nerve palsy but improved. Follow-up angiography revealed disappearance of the left Pcom aneurysm and almost complete obliteration of the left P1–P2 junction aneurysm.","PeriodicalId":131030,"journal":{"name":"Surgery for Cerebral Stroke","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123521257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0