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Transclival clipping for giant vertebral artery aneurysm: A case report
https://repo.qst.go.jp/records/75721
https://repo.qst.go.jp/records/75721841efe37-0931-443b-8137-24bb2b7bd0ae
| Item type | 学術雑誌論文 / Journal Article(1) | |||||
|---|---|---|---|---|---|---|
| 公開日 | 2019-04-25 | |||||
| タイトル | ||||||
| タイトル | Transclival clipping for giant vertebral artery aneurysm: A case report | |||||
| 言語 | ||||||
| 言語 | eng | |||||
| 資源タイプ | ||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
| 資源タイプ | journal article | |||||
| アクセス権 | ||||||
| アクセス権 | metadata only access | |||||
| アクセス権URI | http://purl.org/coar/access_right/c_14cb | |||||
| 著者 |
Okuyama, Tsubasa
× Okuyama, Tsubasa× Higuchi, Yoshinori× Matsuda, Tatsuma× Adachi, Akihiko× Kobayashi, Eiichi× Iwadate, Yasuo× Horiguchi, Kentaro× Tsubasa, Okuyama |
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| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | Background: Endovascular treatment often achieves complete obliteration of VA giant aneurysm; however, retreatment may be required because of late recanalization. We report a case of giant VA aneurysm that showed regrowth after endovascular treatment and was treated with VA clipping using the endoscopic endonasal transclival approach. Case description: A 47-year-old man with chief complaint of ataxia underwent endovascular treatment of giant VA aneurysm. One year later, he needed additional treatment to regrowth of the aneurysm. We were not able to accomplish aneurysmectomy via the transcondylar fossa approach because of difficulty in achieving hemostasis and ended with partial thrombectomy. Digital subtraction angiography (DSA) performed after 4 months revealed coil compaction and distal flow due to recanalization. Right VA elongation and position of anterior spinal artery (ASA), these factors made possible for us to perform transclival approach to VA. Despite the limited indications for its use, endonasal endoscopic transclival clipping may be effective in limited anatomical cases. Conclusion: We report the use of endonasal endoscopic transclival clipping for giant VA aneurysm. This endonasal endoscopic treatment may be an optional alternative in only limited cases depending upon the anatomical location of the lesion because of limitations of vascular control and the inability to visualize the field in the presence of major bleeding. For treatment of progressive giant VA aneurysm, it is very important to avoid optimistic strategy for giant VA aneurysm initially. |
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| 書誌情報 |
Interdisciplinary Neurosurgery 巻 17, p. 107-112, 発行日 2019-04 |
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| 出版者 | ||||||
| 出版者 | ELSEVIER | |||||
| ISSN | ||||||
| 収録物識別子タイプ | ISSN | |||||
| 収録物識別子 | 2214-7519 | |||||
| DOI | ||||||
| 識別子タイプ | DOI | |||||
| 関連識別子 | 10.1016/j.inat.2019.04.004 | |||||
| 関連サイト | ||||||
| 識別子タイプ | URI | |||||
| 関連識別子 | https://www.sciencedirect.com/science/article/pii/S2214751919300659 | |||||
