Successful Operation for a Large High-flow Arteriovenous Malformation under Intraoperative Monitoring and Regulation of Cerebral Blood Flow
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- TAMAKI Norihiko
- Department of Neurosurgery, Kobe University School of Medicine
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- EHARA Kazumasa
- Department of Neurosurgery, Kobe University School of Medicine
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- LIN Tin-kai
- Department of Neurosurgery, Kobe University School of Medicine
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- TOMINAGA Syogo
- Department of Neurosurgery, Kobe University School of Medicine
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- ASADA Masahiro
- Department of Neurosurgery, Kobe University School of Medicine
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- FUJITA Katsuzo
- Department of Neurosurgery, Kobe University School of Medicine
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- KUWAMURA Keiichi
- Department of Neurosurgery, Hyogo Prefectural Awaji Hospital
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- OBORA Yoshiro
- Department of Neurosurgery, Nishiwaki Municipal Hospital
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- KANAZAWA Yasuhisa
- Department of Neurosurgery, Tottori Red-cross Hospital, Tottori
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- YAMASHITA Hideyuki
- Department of Neurosurgery, National Kobe Hospital
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- MATSUMOTO Satoshi
- Department of Neurosurgery, Kobe University School of Medicine
Bibliographic Information
- Other Title
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- 巨大脳動静脈奇形の摘出
- -術中脳血流量調節によるnormal perfusion pressure breakthrough syndromeの予防-
Abstract
The authors proposed a new technique for excision of a large high flow arteriovenous malformation to prevent normal perfusion pressure breakthrough. Selverstone carotid clamps was applied intra- and postoperatively to regulate cerebral blood flow. This procedure was combined with intraoperative cortical blood flow measurement.<BR>According to the follow-up result of our 106 surgical cases, surgical risks were analized by an angiographical grading. The mechanism of normal perfusion pressure breakthrough was also discussed from our experience and literature. Criteria to apply this technique was also discussed. The authors present a case in which a large, high flow arteriovenous malformation was totally excised using this technique. Preoperative, intraoperative and postoperative cerebral blood flow measurement strongly suggested the usefulness of this technique for the safe excision of a large high-flow arteriovenous malformation.
Journal
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- Surgery for Cerebral Stroke
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Surgery for Cerebral Stroke 18 (3), 278-282, 1990
The Japanese Society on Surgery for Cerebral Stroke
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Keywords
Details 詳細情報について
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- CRID
- 1390282680441264256
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- NII Article ID
- 130004668218
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- ISSN
- 09145508
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed