脳卒中の外科研究会講演集
Online ISSN : 2187-185X
Print ISSN : 0387-8031
ISSN-L : 0387-8031
40. 根治手術不能な脳動脈瘤に対するWiring method
栗坂 昌宏有光 哲雄内田 泰史森 惟明佐藤 公典
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1984 年 13 巻 p. 239-244

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The results of bronze wire embolization of an intracranial massive aneurysms in three cases suggest that this method is effective in situations where neck clipping or encasement is inapplicable. A giant aneurysm, 7cm in diameter, was embolized with 430cm of bronze wire. Two large aneursms 1.5 to 1.7cm in diameter were embolized with 47cm and 162cm, respectively, of bronze wire. The angiograms in all three cases show a luminal occlusion, the largest one with complete obliteration of the aneurysmal lumen and two with about 80 percent obliteration. None of the subjects bled during the follow-up period, which ranged from 14 to 28 months. In the case of an ophthalmic aneurysm, third nerve palsy and defect of the visual field improved following the reduction of the pulsative pressure of the dome.

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