Document Detail

Treatment and results of partially thrombosed giant aneurysms.
MedLine Citation:
PMID:  10234979     Owner:  NLM     Status:  MEDLINE    
Partially thrombosed giant aneurysms are one of the most difficult diseases in the neurosurgical field. We have had 18 of these cases namely, three in vertebral artery, four in basilar artery, four in internal carotid artery, five in middle cerebral artery, and two in anterior communicating artery. Nine aneurysms were clipped, two aneurysms were removed with anastomosis, two cases were treated interventionally, and five cases were treated conservatively because of serpentine and fusiform types of aneurysms in internal carotid artery bifurcation. These conservatively treated patients died due to infarction. When surgery is selected in the thrombosed giant aneurysms, the approach is the most important to secure the neck. Three-dimensional computed tomography angiography was useful to plan the strategy for surgery. If the neck is big enough for placement of a clip, arterial reconstruction is the choice. The reconstruction must be done including an adequate size of the artery because of the thick wall. If the aneurysm neck is too small to reconstruct, aneurysmectomy with anastomosis is one of the choices.
H Sano; Y Kato; K Shankar; N Kanaoka; M Hayakawa; K Katada; T Kanno
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurologia medico-chirurgica     Volume:  38 Suppl     ISSN:  0470-8105     ISO Abbreviation:  Neurol. Med. Chir. (Tokyo)     Publication Date:  1998  
Date Detail:
Created Date:  1999-09-08     Completed Date:  1999-09-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0400775     Medline TA:  Neurol Med Chir (Tokyo)     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  58-61     Citation Subset:  IM    
Department of Neurosurgery, Fujita Health University, Toyoake, Aichi.
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MeSH Terms
Cerebral Angiography / methods
Intracranial Aneurysm / complications*,  diagnosis,  surgery*
Intracranial Embolism and Thrombosis / complications*,  diagnosis,  surgery*
Middle Aged
Severity of Illness Index
Surgical Instruments
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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