カワシマ　アキツグ   KAWASHIMA Akitsugu   川島　明次    所属   医学部 医学科（東京女子医科大学病院）    職種   准教授
論文種別	症例報告
言語種別	英語
査読の有無	査読あり
表題	Successful treatment of a blood blister-like aneurysm of the internal carotid artery by trapping with a high-flow bypass.
掲載誌名	正式名：Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia 略　 称：J Clin Neurosci ISSNコード：09675868/09675868
掲載区分	国外
巻・号・頁	15(7),pp.797-800
著者・共著者	Kawashima Akitsugu, Okada Yoshikazu, Kawamata Takakazu, Onda Hideaki, Kubo Osami, Hori Tomokatsu
担当区分	筆頭著者,責任著者
発行年月	2008/07
概要	Treatment of blood blister-like aneurysms of the internal carotid artery (ICA) is difficult because the wall of the aneurysm is fragile and there is a high risk of rebleeding. There has been no consensus on the best way to treat these aneurysms. A 32-year-old woman presented with subarachnoid hemorrhage (SAH) caused by a ruptured blood blister-like aneurysm of the ICA. The site of the aneursym was clipped. Although angiography 1week after the operation showed that the aneurysm had been treated successfully, 3 weeks after the initial operation, the aneurysm was found to have recurred to the distal side. In a second operation, the aneurysm was successfully treated by trapping with a high-flow bypass. This case shows that clipping of the rupture site can be insufficient to treat blood blister-like aneurysm of the ICA causing SAH, even if the aneurysm seems to have resolved in follow-up angiographic studies. Trapping of the ICA with a bypass, if necessary a high-flow bypass, is recommended.
DOI	10.1016/j.jocn.2007.03.012
PMID	18406147