{"created":"2023-05-15T14:55:46.055433+00:00","id":75721,"links":{},"metadata":{"_buckets":{"deposit":"d8229be5-49a4-4ba9-bc21-b2b644007c71"},"_deposit":{"created_by":1,"id":"75721","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"75721"},"status":"published"},"_oai":{"id":"oai:repo.qst.go.jp:00075721","sets":["1"]},"author_link":["942533","942537","942539","942540","942536","942534","942538","942535"],"item_8_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2019-04","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"112","bibliographicPageStart":"107","bibliographicVolumeNumber":"17","bibliographic_titles":[{"bibliographic_title":"Interdisciplinary Neurosurgery"}]}]},"item_8_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Background: Endovascular treatment often achieves complete obliteration of VA giant aneurysm; however, retreatment\nmay be required because of late recanalization. We report a case of giant VA aneurysm that showed\nregrowth after endovascular treatment and was treated with VA clipping using the endoscopic endonasal\ntransclival approach.\nCase description: A 47-year-old man with chief complaint of ataxia underwent endovascular treatment of giant\nVA aneurysm. One year later, he needed additional treatment to regrowth of the aneurysm. We were not able to\naccomplish aneurysmectomy via the transcondylar fossa approach because of difficulty in achieving hemostasis\nand ended with partial thrombectomy. Digital subtraction angiography (DSA) performed after 4 months revealed\ncoil compaction and distal flow due to recanalization. Right VA elongation and position of anterior spinal artery\n(ASA), these factors made possible for us to perform transclival approach to VA. Despite the limited indications\nfor its use, endonasal endoscopic transclival clipping may be effective in limited anatomical cases.\nConclusion: We report the use of endonasal endoscopic transclival clipping for giant VA aneurysm. This endonasal\nendoscopic treatment may be an optional alternative in only limited cases depending upon the anatomical\nlocation of the lesion because of limitations of vascular control and the inability to visualize the field in the\npresence of major bleeding. For treatment of progressive giant VA aneurysm, it is very important to avoid\noptimistic strategy for giant VA aneurysm initially.","subitem_description_type":"Abstract"}]},"item_8_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"ELSEVIER"}]},"item_8_relation_14":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"10.1016/j.inat.2019.04.004","subitem_relation_type_select":"DOI"}}]},"item_8_relation_17":{"attribute_name":"関連サイト","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://www.sciencedirect.com/science/article/pii/S2214751919300659","subitem_relation_type_select":"URI"}}]},"item_8_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"2214-7519","subitem_source_identifier_type":"ISSN"}]},"item_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"metadata only access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_14cb"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Okuyama, Tsubasa"}],"nameIdentifiers":[{"nameIdentifier":"942533","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Higuchi, Yoshinori"}],"nameIdentifiers":[{"nameIdentifier":"942534","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Matsuda, Tatsuma"}],"nameIdentifiers":[{"nameIdentifier":"942535","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Adachi, Akihiko"}],"nameIdentifiers":[{"nameIdentifier":"942536","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Kobayashi, Eiichi"}],"nameIdentifiers":[{"nameIdentifier":"942537","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Iwadate, Yasuo"}],"nameIdentifiers":[{"nameIdentifier":"942538","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Horiguchi, Kentaro"}],"nameIdentifiers":[{"nameIdentifier":"942539","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Tsubasa, Okuyama","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"942540","nameIdentifierScheme":"WEKO"}]}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"Transclival clipping for giant vertebral artery aneurysm: A case report","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Transclival clipping for giant vertebral artery aneurysm: A case report"}]},"item_type_id":"8","owner":"1","path":["1"],"pubdate":{"attribute_name":"公開日","attribute_value":"2019-04-25"},"publish_date":"2019-04-25","publish_status":"0","recid":"75721","relation_version_is_last":true,"title":["Transclival clipping for giant vertebral artery aneurysm: A case report"],"weko_creator_id":"1","weko_shared_id":-1},"updated":"2023-05-15T20:19:49.172481+00:00"}