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カワシマ アキツグ
Akitsugu Kawashima
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 |
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| 論文種別 | 原著 |
| 言語種別 | 英語 |
| 査読の有無 | 査読あり |
| 表題 | Superficial Temporal Artery: Distal Posterior Cerebral Artery Bypass through the Subtemporal Approach: Technical Note and Pilot Surgical Cases. |
| 掲載誌名 | 正式名：Operative neurosurgery (Hagerstown, Md.) 略 称：Oper Neurosurg (Hagerstown) ISSNコード：23324260/23324252 |
| 掲載区分 | 国外 |
| 巻・号・頁 | 13(3),pp.309-316 |
| 著者・共著者 | Kawashima Akitsugu, Andrade-Barazarte Hugo, Jahromi Behnam Rezai, Oinas Minna, Elsharkawy Ahmed, Kivelev Juri, Kubota Yuichi, Kawamata Takakazu, Hernesniemi Juha A |
| 担当区分 | 筆頭著者,責任著者 |
| 発行年月 | 2017/06 |
| 概要 | BACKGROUND:Posterior cerebral artery (PCA) aneurysms are rare and the majority are fusiform in shape. Proximal occlusion of PCA represents a treatment option for these lesions. However, this procedure carries a high risk of ischemic complications.OBJECTIVE:To describe the technique of trapping a fusiform PCA aneurysm and revascularization of the distal PCA using a superficial temporal artery (STA) graft through the same microsurgical approach.METHODS:From September 2012 to October 2014, we retrospectively identified 3 patients harboring a fusiform PCA aneurysm (P2 segment aneurysm) who underwent trapping of the aneurysm and reconstruction of the distal PCA through the same subtemporal approach. We analyzed immediate morbidity, surgical complications, and the patency of the bypass to determine the feasibility of this procedure.RESULTS:All 3 patients underwent successful trapping of the fusiform PCA aneurysm and revascularization of the distal PCA. The origin of P3 segment or posterior temporal artery (PTA) served as recipient arteries. In all 3 cases, adequate blood flow was evident after performing the STA-P3/PTA bypass. None of the patients experienced a new permanent neurological deficit. At 1-year follow-up, the STA-PTA/PCA bypasses remained patent.CONCLUSION:The STA-P3/PTA bypass through the subtemporal approach is a feasible option to maintain blood flow in cases of PCA fusiform aneurysms requiring trapping of the P2 segment. |
| DOI | 10.1093/ons/opw033 |
| PMID | 28521345 |