Journal of cerebrovascular and endovascular neurosurgery最新文献_第6页

Microsurgical strategies for small unruptured dorsal internal carotid artery aneurysms. 未破裂的颈内背动脉小动脉瘤的显微外科治疗策略。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2023-12-01 Epub Date: 2023-10-13 DOI: 10.7461/jcen.2023.E2023.05.008

Kanghee Ahn, Woong-Beom Kim, You-Sub Kim, Sung-Pil Joo, Tae-Sun Kim

{"title":"Microsurgical strategies for small unruptured dorsal internal carotid artery aneurysms.","authors":"Kanghee Ahn, Woong-Beom Kim, You-Sub Kim, Sung-Pil Joo, Tae-Sun Kim","doi":"10.7461/jcen.2023.E2023.05.008","DOIUrl":"10.7461/jcen.2023.E2023.05.008","url":null,"abstract":"Objective: This study aimed to develop microsurgical strategies based on the anatomical relationship between dorsal internal carotid artery (ICA) aneurysms, the falciform ligament (FL), and the anterior clinoid process (ACP).Methods: Between 2017 and 2022, 25 patients with unruptured dorsal ICA aneurysms (less than 4 mm in diameter) underwent microsurgical direct clipping. These cases involved the left ICA (n=17) and the right ICA (n=8), with a mean aneurysm size of 3.3 mm (range, 2.5 to 4 mm). We used computed tomography angiography (CTA) and digital subtraction angiography to elucidate the anatomical relationship between dorsal ICA aneurysms and other structures. All procedures involved an ipsilateral pterional approach with securement of the ipsilateral cervical ICA for proximal control.Results: Among the 25 dorsal ICA aneurysms, 8 (32%) were clipped without the FL being incised. Another 5 (20%) were clipped solely after the FL was cut. For the remaining 12 cases, the aneurysms were successfully clipped following FL incision and partial ACP removal. Patients exhibited favorable postoperative recoveries with good outcomes, and postoperative CTA revealed complete aneurysm clipping without any residual remnants. Conclusions: We were able to perform clipping without removing the ACP in 13 patients (52%), and in 8 of these (32%), the clipping was carried out directly without cutting the FL. Microsurgery, coupled with proximal control of the cervical ICA, can serve as a viable alternative for patients with small dorsal ICA aneurysms, especially when endovascular treatment options are limited, and 3D CTA confirms a clear anatomical relationship with the ACP.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"475-484"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10810722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41224107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

ERRATUM: Wire perforation of the missed tiny aneurysm originating from the fenestrated A1 segment during the endovascular approach. 勘误:在血管内入路中，源自A1节段开窗的细小动脉瘤的金属丝穿孔。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2023-12-01 Epub Date: 2023-11-10 DOI: 10.7461/jcen.2022.E2021.12.001.E

Seung Ho Shin, Won Ho Cho, Seung Heon Cha, Jun Kyeung Ko

引用次数: 0

ERRATUM: Endovascular treatment of ruptured tiny aneurysms. 勘误:血管内治疗破裂的微小动脉瘤。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2023-12-01 Epub Date: 2023-11-10 DOI: 10.7461/jcen.2019.21.2.67.E

Joon Hyuk Kim, Chang Hwa Choi, Jae Il Lee, Tae Hong Lee, Jun Kyeung Ko

引用次数: 0

Deconstructive repair of a traumatic vertebrovertebral arteriovenous fistula via a contralateral endovascular approach 经对侧血管内入路解构性修复外伤性椎-脊椎动静脉瘘

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2022-05-16 DOI: 10.7461/jcen.2022.E2021.10.002

S. Nageshwaran, F. Deng, R. Regenhardt, A. Das, N. Alotaibi, A. Patel, C. Stapleton

引用次数: 0

Anatomical safety and precaution of transarterial embolization of a falcotentorial dural arteriovenous fistula fed by the artery of Davidoff and Schechter: Case report and review of the literature 经动脉栓塞大卫杜夫和谢克特动脉供血镰状脑膜动静脉瘘的解剖安全性和预防措施:病例报告和文献复习

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2022-05-16 DOI: 10.7461/jcen.2022.E2021.09.004

Seung-Bin Woo, Jae-Hyun Kim, Min-Yong Kwon, Chang-Young Lee

引用次数: 0

Pathophysiology and classification of intracranial and spinal dural AVF 颅内及硬脊膜AVF的病理生理及分型

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2022-04-21 DOI: 10.7461/jcen.2022.E2021.04.001

S. Sim

引用次数: 2

Use of covered stent (CGuard) in the treatment of post-traumatic internal carotid artery pseudoaneurysm 覆膜支架（CGuard）在创伤后颈内动脉假性动脉瘤治疗中的应用

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2022-03-29 DOI: 10.7461/jcen.2022.E2021.06.005

D. Singh, D. Shankar, Gaurav Sharma, Kuldeep Yadav, Mohammad Kaif

引用次数: 0

Keyhole approach in anterior circulation aneurysm: Current indication, advantages, technical limitations, complications and their avoidance 锁眼入路治疗前循环动脉瘤的适应证、优势、技术限制、并发症及避免

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2022-03-10 DOI: 10.7461/jcen.2022.E2021.07.008

H. Prajapati, Ahmad Ansari, M. Jaiswal

{"title":"Keyhole approach in anterior circulation aneurysm: Current indication, advantages, technical limitations, complications and their avoidance","authors":"H. Prajapati, Ahmad Ansari, M. Jaiswal","doi":"10.7461/jcen.2022.E2021.07.008","DOIUrl":"https://doi.org/10.7461/jcen.2022.E2021.07.008","url":null,"abstract":"Keyhole surgery recently evolved as a minimal invasive surgical approach for treatment of anterior circulation aneurysm. This review was done to evaluate the keyhole approach for anterior circulation aneurysms, their indications, advantages, technical limitations, complications and their avoidance. The literature review was performed with the phrase “keyhole approach for anterior circulation aneurysm” as a search term in PubMed central, Medline, Google scholar and Embase data base to identify all the articles published till December 2020. Out of 113 articles searched, 22 were included in this review after screening for eligibility. On analyzing these articles, there was total 2058 aneurysm in 1871 patients. Out of 2058 aneurysm, 988 were ruptured and 547 unruptured. In 5 studies, which include 344 aneurysms in 344 cases, aneurysm ruptured or unruptured status was not specified. The most frequent aneurysm site was anterior communicating artery (n=573). The size of the aneurysm mentioned in most of the study was <15 mm. The rate of complete occlusion was ranged from 93.6-100%. The range of intra operative rupture (IOR) was 0-28.6%. The mean operative time was ranged from 70 min-5.34 hours as reported in 13 studies. Good outcome [Glasgow outcome scale (GOS): 4-5] were seen in 75-100% cases. The frontalis muscle weakness has been reported in 3 studies and ranged from 0-1.99%. Keyhole surgery can be a safe and effective treatment modality for treatment of a selected anterior circulation aneurysm. In the experienced hand it has certain advantages over standard pterional craniotomy.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":"24 1","pages":"101 - 112"},"PeriodicalIF":0.0,"publicationDate":"2022-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47246995","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

Surgical management of simultaneous supra- and infratentorial hemorrhages in a pediatric patient with multiple cavernomas 儿童多发性海绵状瘤同时幕上和幕下出血的外科治疗

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2022-02-28 DOI: 10.7461/jcen.2022.E2021.08.001

G. Tyagi, Abhay Sikaria, G. Birua, M. Beniwal, Dwarakanath Srinivas

{"title":"Surgical management of simultaneous supra- and infratentorial hemorrhages in a pediatric patient with multiple cavernomas","authors":"G. Tyagi, Abhay Sikaria, G. Birua, M. Beniwal, Dwarakanath Srinivas","doi":"10.7461/jcen.2022.E2021.08.001","DOIUrl":"https://doi.org/10.7461/jcen.2022.E2021.08.001","url":null,"abstract":"Multiple intracranial cavernomas are rare and occur mostly in familial cases. Clinical presentation with simultaneous rupture of two or more lesions has only been reported in four cases to date. A 15-year-old boy presented with simultaneous right frontal and superior vermian hematomas with hydrocephalus. The patient underwent a ventriculoperitoneal shunt, and his magnetic resonance imaging (MRI) revealed multiple cavernomas with bleed in the above-mentioned locations. The patient underwent a midline suboccipital craniotomy and excision of the cavernoma. The supratentorial lesions were left in situ in lieu of small size, no history of seizures, mass effect, or other neurological deficits. The patient recovered well from surgery with significant improvement in truncal ataxia. He remained asymptomatic for supratentorial lesions at follow-up. Cavernomas should be considered as differential diagnoses in cases of multiple intraparenchymal hemorrhages, especially in pediatric patients. The surgical management should be rationalized based on the lesion location, the eloquence of the surrounding parenchyma, mass effect, and the risks of re-rupture. Due to the rarity of multiple simultaneous hemorrhages, the management of multiple cavernomas remains controversial. The patient’s relatives can be screened with MRI to rule out the familial form of the disease. Strict clinical and radiological follow-up is a must in such patients.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":"24 1","pages":"263 - 266"},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47456117","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

A Type 1 Persistent Proatlantal Artery Originating from the External Carotid Artery Detected by Computed Tomographic Angiography 计算机断层扫描血管造影检测来源于颈外动脉的1型持续性寰前动脉

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2018-12-01 DOI: 10.7461/jcen.2018.20.4.231

Yunsuk Choi, Sang-Bong Chung, M. Kim

引用次数: 1