脳卒中の外科
Online ISSN : 1880-4683
Print ISSN : 0914-5508
ISSN-L : 0914-5508
原  著
微小破裂前交通動脈瘤に対するコイル塞栓術
堤 正則相川 博鬼塚 正成伊香 稔児玉 智信新居 浩平濱口 周子江藤 輔聖坂本 王哉井上 律郎中右 博也風川 清
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2009 年 37 巻 3 号 p. 162-166

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We evaluate the efficacy of the coil embolization for tiny ruptured anterior communicating artery (ACoA) aneurysms. Of 21 ruptured ACoA aneurysms with a maximum diameter of 3 mm, coil embolization was successfully carried out in 20 (95%) as the first treatment option. Complete occlusion was achieved in 17 of 20 patients and nearly complete occlusion was realized in 3. There were no treatment-related complications. Seventeen of 20 patients were followed up angiographically for a mean 39.7 months (range 6-72 months), and none of them demonstrated reopening of aneurysm that required additional treatment. Even in tiny ruptured ACoA aneurysms, coil embolization can be a safe and feasible treatment with sophisticated techniques.

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© 2009 一般社団法人 日本脳卒中の外科学会
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