내경동맥-안동맥 동맥류에 대한 경막외 및경막내 접근술
Extadural-Intradural Approach to Carotid-Ophthalmic Artery Aneurysm
황선욱, 장석정, 신호,
소속 상세정보
황선욱 ( )
조선대학교
장석정 ( )
조선대학교
신호 ( )
조선대학교
KMID : 0359819940230080940
Abstract
The authors report seven cases of carotid-ophthalmic artery aneurysms who were surgically treated using the combined extradural-intradural or intradural approach from March, 1991, to December, 1993.
Carotid-ophthalmic artery aneurysms are of considerably surgical interest because some of these were considered to have technical difficulties of clipping and disastrous surgical results. Removal of the anterior clinoid process and unroofing of
the
optic canal are the key points to exposure the operative field adequately.
On the basis of these experiences, authors concluded that this approach is very useful, bacause of adequate surgical field and better mobilization of the internal carotid artery and optic nerve for direct clipping of carotid-ophthamic artery
aneurysm
and basilar tip aneurysm.
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