scholarly journals Revascularization for Anterior Cerebral Artery Dissecting Aneurysms

2010 ◽  
Vol 50 (1) ◽  
pp. 49-53 ◽  
Author(s):  
Yoichi UOZUMI ◽  
Hiroshi KATOH ◽  
Nobusuke TSUZUKI ◽  
Terushige TOYOOKA ◽  
Takahito MIYAZAWA ◽  
...  

2008 ◽  
Vol 1 ◽  
pp. CCRep.S833
Author(s):  
Akihiro Kurosu ◽  
Shizuo Hatashita ◽  
Hideo Ueno

Introduction Intracranial dissecting aneurysms have been increased due to recent advancements in diagnostic imaging. However there have been little article with subarachnoid hemorrhage and cerebral infarction occurring almost at the same time. We performed the surgical treatment and obtained good result. Case presentation A 47-year-old male presented to our hospital with chief complaints of sudden headache and mild paralysis of the left lower extremity. Brain imaging at admission revealed cerebral infarction in the right frontal lobe and subarachnoid hemorrhage in the frontal convexy and anterior interhemispheric fissure. The left and right internal carotid angiography showed a bulging cerebral aneurysm at the left A1–A2 junction and stenosis and arterial dissections in the peripheral of the bilateral anterior cerebral artery. Wrapping was performed for the dissecting aneurysm of the left anterior cerebral artery. For the right anterior cerebral artery, trapping was performed at the A2 segment without vascular anastomosis. The patient's postoperative course was uneventful. Conclusion A consensus has not been reached on the treatment for intracranial dissecting aneurysms. Proximal trapping without vascular reconstruction was performed for the right anterior cerebral artery without vascular anastomosis to prevent rebleeding. However no symptoms of neurological deficiency were observed. Proximal trapping of dissecting aneurysm seems to be a good option when patient's functional and life prognosis are taken into account in case that vascular reconstruction will be anticipated difficulty.



2001 ◽  
Vol 41 (5) ◽  
pp. 271-278 ◽  
Author(s):  
Jun HIRAO ◽  
Hisayo OKAMOTO ◽  
Takashi WATANABE ◽  
Shuichiro ASANO ◽  
Akira TERAOKA


2017 ◽  
Vol 13 (4) ◽  
pp. E14-E18 ◽  
Author(s):  
Yasunori Nagai ◽  
Masanori Goto ◽  
Hiroki Toda ◽  
Namiko Nishida ◽  
Naoya Yoshimoto ◽  
...  

Abstract BACKGROUND AND IMPORTANCE: Indocyanine green videoangiography (ICG-VA) is an important intraoperative adjunct for saccular aneurysm surgery, but its efficacy in surgery for dissecting aneurysms has rarely been reported. The authors describe the usefulness of preclipping ICG-VA in a rare case of a ruptured dissecting aneurysm located at the precommunicating (A1) segment of the anterior cerebral artery. CLINICAL PRESENTATION: A 52-year-old woman, with no history of connective tissue diseases or vascular disorders, presented with sudden headache and convulsion. The CT scan showed that the patient had subarachnoid hemorrhage. Angiography showed a dissecting aneurysm in the left A1 segment of the anterior cerebral artery. Thus, the patient underwent trapping of the dissecting aneurysm. ICG-VA was used as an intraoperative adjunct before and after clipping. The preclipping ICG-VA showed the heterogeneously bright dissecting aneurysm and branching arteries even in the presence of hematoma. CONCLUSION: Preclipping ICG-VA may enhance the advantage of direct surgery for dissecting aneurysm by allowing visualization of the extent of the dissected vascular wall and the related branching arteries. ICG-VA can be an indispensable adjunct to minimize the compromise from the surgical treatment for intracranial dissecting aneurysms.



1997 ◽  
Vol 20 (2) ◽  
pp. 145-148 ◽  
Author(s):  
Yasunari Otawara ◽  
Michiyasu Suzuki ◽  
Miyuki Abe ◽  
Nobuhiko Tomizuka ◽  
Akira Ogawa


2020 ◽  
Vol 14 (10) ◽  
pp. 435-440
Author(s):  
Naoto Tsuchiya ◽  
Hidemoto Fujiwara ◽  
Haruhiko Takahashi ◽  
Ryousuke Ogura ◽  
Junichi Yoshimura ◽  
...  


2007 ◽  
Vol 57 (4) ◽  
pp. 224-228 ◽  
Author(s):  
Noriyuki Sakata ◽  
Makoto Hamasaki ◽  
Hiroshi Iwasaki ◽  
Seiji Shigekawa ◽  
Syouichi Arai


2017 ◽  
Vol 41 (2) ◽  
pp. 409-414 ◽  
Author(s):  
Takafumi Mitsuhara ◽  
Fusao Ikawa ◽  
Toshikazu Hidaka ◽  
Yasuharu Kurokawa ◽  
Ushio Yonezawa




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