書誌事項
- タイトル別名
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- Surgical Strategies and Technical Tips for Bonnet Bypass Using a Saphenous Vein Graft for Common Carotid Artery Occlusion: A Report of Three Cases and Review of the Literature
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説明
Superficial temporal artery-middle cerebral artery bypass techniques are widely used to prevent secondary cerebral infarction during internal carotid artery occlusion. However, no effective surgical procedure is available for common carotid artery occlusion. Bonnet bypass using a saphenous vein graft was first described in 1980. However, the saphenous vein graft can easily become twisted and occluded by the tension of the skin flap. Therefore, we create a gutter in the skull to hold and fix the vein graft, using a mini-plate, to prevent such complications. We treated 3 patients with symptomatic (transient ischemic attack or minor stroke) common carotid artery occlusion, with modified Rankin Scale 1-2 and independent activities of daily living. Magnetic resonance imaging did not detect extensive cerebral infarction. Quantitative single photon emission computed tomography showed reduced vascular reserve (stage II) in the left middle cerebral artery territory. Bonnet bypass performed in the chronic phase achieved good patency of the bypass and improved vascular reserve.
収録刊行物
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- 脳卒中の外科
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脳卒中の外科 45 (5), 409-413, 2017
一般社団法人 日本脳卒中の外科学会
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詳細情報 詳細情報について
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- CRID
- 1390001204671041408
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- NII論文ID
- 130006183713
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- ISSN
- 18804683
- 09145508
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
- OpenAIRE
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- 抄録ライセンスフラグ
- 使用不可
