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脑动脉瘤手术并发症预防的回顾:藤田经验

Review of Avoidance of Complications in Cerebral Aneurysm Surgery: The Fujita Experience.

作者信息

Ansari Ahmed, Kalyan Sai, Sae-Ngow Treepob, Yamada Yasuhiro, Tanaka Riki, Kawase Tsukasa, Kato Yoko

机构信息

Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Nagoya, Japan.

出版信息

Asian J Neurosurg. 2019 Jul-Sep;14(3):686-692. doi: 10.4103/ajns.AJNS_131_17.

Abstract

Avoidance of complications during cerebral aneurysm surgery marks the future outcome in the patient. Various modalities such as adequate opening of the Sylvian fissure, motor-evoked potential, endoscope-assisted microsurgery, indocyanine green dye, and dual image video angiography are available to reduce these complications during surgery, either by prevention of injury to the small perforators or the parent artery. We present our experience at the Fujita Health University Banbuntane Hospital, Japan, of the cerebral aneurysm surgery along with the use of these modalities in our patients from September 2014 to December 2016 along with a brief review of the various techniques for avoidance of complications.

摘要

避免脑动脉瘤手术期间的并发症是患者未来预后的关键。有多种方法可用于减少手术期间的这些并发症,例如充分打开外侧裂、运动诱发电位、内镜辅助显微手术、吲哚菁绿染料和双图像视频血管造影,这些方法要么是通过防止对小穿支或母动脉的损伤来实现的。我们介绍了日本藤田保健大学阪本医院自2014年9月至2016年12月期间进行脑动脉瘤手术的经验,以及在我们患者中使用这些方法的情况,并简要回顾了避免并发症的各种技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eaf/6703062/f521c0ad8979/AJNS-14-686-g001.jpg

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