血行再建を予備的に行った大型脳動脈瘤の治療 ―症例報告―

数又 研; 浅岡 克行; 寺坂 俊介; 板本 孝治; 横山 由佳; 牛越 聡; 安喰 稔; 菊地 統; 柏崎 大奈; 高川 裕也

doi:10.2335/scs.36.316

Case Reports

Treatment of Complex Cerebral Aneurysm Using Extracranial- intracranial Bypass: Case Report

Ken KAZUMATA ^†, Katuyuki ASAOKA ^†, Syunsuke TERASAKA ^†, Kouji ITAMOTO ^†, Yuka YOKOYAMA ^†, Satoshi USHIKOSHI ^†, Minoru AJIKI ^†, Tooru KIKUCHI ^†, Daina KASHIWAZAKI ^†, Yuhya TAKAGAWA ^†

Author information

Ken KAZUMATA ^†
Department of Neurosurgery, Teine Keijinkai Hospital
Katuyuki ASAOKA ^†
Department of Neurosurgery, Teine Keijinkai Hospital
Syunsuke TERASAKA ^†
Department of Neurosurgery, Hokkaido University School of Medicine
Kouji ITAMOTO ^†
Department of Neurosurgery, Teine Keijinkai Hospital
Yuka YOKOYAMA ^†
Department of Neurosurgery, Teine Keijinkai Hospital
Satoshi USHIKOSHI ^†
Department of Neurosurgery, Teine Keijinkai Hospital
Minoru AJIKI ^†
Department of Neurosurgery, Teine Keijinkai Hospital
Tooru KIKUCHI ^†
Department of Neurosurgery, Teine Keijinkai Hospital
Daina KASHIWAZAKI ^†
Department of Neurosurgery, Teine Keijinkai Hospital
Yuhya TAKAGAWA ^†
Department of Neurosurgery, Teine Keijinkai Hospital
Author contributions

†These authors contributed equally: Ken KAZUMATA, Katuyuki ASAOKA, Syunsuke TERASAKA, Kouji ITAMOTO, Yuka YOKOYAMA, Satoshi USHIKOSHI, Minoru AJIKI, Tooru KIKUCHI, Daina KASHIWAZAKI, Yuhya TAKAGAWA

Keywords: cerebral aneurysm, EC-IC bypass, microsurgery, radical artery graft, clipping

JOURNAL FREE ACCESS

2008 Volume 36 Issue 4 Pages 316-323

DOI https://doi.org/10.2335/scs.36.316

Details

Abstract

We describe intracranial bypass options employed in direct clipping of the large cerebral aneurysm. The bypass techniques used included STA-MCA bypass (n = 2), radial artery graft (n = 2), ACA-ACA side to side (n = 1), and STA-PCA, STA-SCA bypass (n = 1).
We consider the options of vascular reconstruction prior to manipulation of the aneurysm when the patency of the parent artery is unpredictable.

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