脳動脈瘤手術時におけるマルチモニタリングシステム

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  • Multi-modality and Multi-channel Monitoring System During Aneurysmal Surgery

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We introduced multimonitoring system at aneurysmal surgery in our institute. Two channels of both direct cortical response (DCR) and local cerebral blood flow (l-CBF) were continuously monitored during temporary occlusion. These monitorings were useful to evaluate the ischemic change and its reversibility.<BR>Flow velocity of the impotant vessels including small vessels about 0.5 mm in diameter was measured by microvascular Doppler sonography before and after the aneurysmal neck clipping.<BR>Combining use of these monitoring systems can improve safety and accuracy during aneurysmal surgery.

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