지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한뇌혈관외과학회 Journal of Cerebrovascular and Endovascular Neurosurgery Journal of Cerebrovascular and Endovascular Neurosurgery Vol.16 No.3
- 발행연도
- 2014.1
- 수록면
- 303 - 308 (6page)
이용수
초록· 키워드
오류제보하기
Aneurysms arising from non-branching sites of the supraclinoid internalcarotid artery (ICA) are considered rare, accounting for only 0.9-6.5% ofall ICA aneurysms. They are thin-walled, broad-based, can easily ruptureduring surgery, and are referred to as dorsal, superior, anterior, or ventralwall ICA aneurysms, as well as blister-like aneurysms. Various treatmentmodalities are available for blister-like aneurysms, but with varying success.
Here, we report on two cases of saccular shaped dorsal wall aneurysms.
Both patients were transferred to the emergency department with subarachnoidhemorrhage because of an aneurysmal rupture. Computed tomographyangiography and transfemoral cerebral angiography (TFCA) showeda dorsal wall aneurysm in the distal ICA. We performed clipping on thewrapping material (Lyodura®, temporal fascia). Follow-up TFCA showedrapid configuration changes of the right distal ICA. Coil embolization wasalso performed as a booster treatment to prevent aneurysm regrowth.
Both patients were discharged without neurologic deficit. No evidence ofaneurysm regrowth was observed on follow-up TFCA at two years. Dorsalwall ICA aneurysms can change in size over a short period; therefore, follow-up angiography should be performed within the short-term. In cases ofregrowth, coil embolization should be considered as a booster treatment.
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참고문헌 (24)
참고문헌 신청
Abe M / 1998 / Blood blisterlike aneurysms of the internal carotid artery / J Neurosurg 89(3):419~424
Baskaya MK / 2008 / Surgical treatment of blood blister-like aneurysms of the supraclinoid internal carotid artery with extracranial-intracranial bypass and trapping / Neurosurg Focus 24(2):E13
Ishikawa T / 1997 / Pathological consideration of a "blister-like" aneurysm at the superior wall of the internal carotid artery: case report / Neurosurgery 40(2):405~406
Joo SP / 2006 / Arterial suturing followed by clip reinforcement with circumferential wrapping for blister-like aneurysms of the internal carotid artery / Surg Neurol 66(4):424~428
Kato Y / 2001 / Treatment of unruptured intracranial aneurysms-a clinicopathological correlation / Acta Neurochir (Wien) 143(7):681~686
Baskaya MK / 2008 / Surgical treatment of blood blister-like aneurysms of the supraclinoid internal carotid artery with extracranial-intracranial bypass and trapping / Neurosurg Focus 24(2):E13
Ishikawa T / 1997 / Pathological consideration of a "blister-like" aneurysm at the superior wall of the internal carotid artery: case report / Neurosurgery 40(2):405~406
Joo SP / 2006 / Arterial suturing followed by clip reinforcement with circumferential wrapping for blister-like aneurysms of the internal carotid artery / Surg Neurol 66(4):424~428
Kato Y / 2001 / Treatment of unruptured intracranial aneurysms-a clinicopathological correlation / Acta Neurochir (Wien) 143(7):681~686
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