넓은 경부를 가진 중대뇌동맥류의 복합 결찰술
Multiple Clipping Technique of Wide-Necked Middle Cerebral Artery Aneurysms
대한뇌혈관학회지 2001년 3권 2호 p.154 ~ 158
이문영, 강성돈,
소속 상세정보
이문영 ( )
가톨릭대학교
강성돈 ( )
가톨릭대학교
KMID : 0890520010030020154
Abstract
Objective: Although currently only a few middle cerebral artery aneurysms (MCAAs) are inoperable, they still present problems as compared with other aneurysm in the anterior circulation. MCAAs are less suitable for endovascular surgery,
owing to
anatomic reasons and frequent association with expanding hematomas, neurosurgeons shold focus on the safe treatment of these lesions. Several methods are recently available for the clipping of wide-necked MCAAs. The author emphasizes the techique
of
multiple clipping in the present study. Methods: This article contains 5 patients with wide-necked MCAAs who underwent multiple clipping technique with facing and/or tandem fashion, in which the tips of the clip blades are placed in
ipposite
or
parallel directions, respectively. Results: Aneurysms were successfully clipped with preservation of the parent vessels. There were four good results and one death directly related to the initial brain injury.
Conclusion: On the basis of of the configurations of domes and their neck, wide-necked MCAAs can be clipped successfully using this multiple clipping technique with facing and tandem fashion.
키워드
중대뇌동맥; 뇌동맥류; Middle cerebral artery; Wide-necked aneurysms; Multiple clipping;
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