脳卒中の外科研究会講演集
Online ISSN : 2187-185X
Print ISSN : 0387-8031
ISSN-L : 0387-8031
破裂脳動脈瘤急性期の脳血管撮影
-われわれの方法-
天笠 雅春吉本 高志溝井 和夫鈴木 二郎
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ジャーナル フリー

1986 年 14 巻 p. 177-180

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抄録
Our experiences of cerebral angiography in acute stage of ruptured aneurysms were 127 cases in 1982-1984 and in only one case rerupture during angiography occurred. Our principle for cerebral angiography in acute stage of ruptured aneurysms is as follows:
1) Control of blood pressure. Systolic pressure should be under 120 using trimetaphan and nifedipine
2) Sedation must be done sufficiently
3) The operator must be skilled in order to minimize the mechanical damage to the patient
4) Direct puncture using teflon needle and slight slow injection by manual
5) Non-ionic contrast medium metrizamide is very useful because of no discomfort and no pain to the patient.
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© 一般社団法人 日本脳卒中の外科学会
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