書誌事項
- タイトル別名
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- Application of Three-dimensional Cerebral Angiography for Presurgical Simulation of Cerebral Aneurysm Clipping
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説明
<p>Recent developments in cerebral angiography equipment and workstations have made it possible to produce clear angiograms and useful images for neurosurgery. At our institution, we routinely perform cerebral aneurysm clipping after presurgical simulation using imaging data obtained using three-dimensional cerebral angiography. This report describes the clinical significance of three-dimensional cerebral angiography in cerebral aneurysm clipping.</p><p>Materials and Methods: Three-dimensional rotational angiography (3D-RA) and three-dimensional rotational venography (3D-RV) were performed on cerebral angiography, and the resulting imaging data were processed on a workstation. Depending on the requirements of each case, we created 3D-RA, 3D-RV, slab maximum intensity projection, and fusion images for presurgical simulation, followed by cerebral aneurysm clipping.</p><p>Results: Thirty patients underwent cerebral unruptured aneurysm clipping using this technique. Clipping was completed in all cases. The treatment complications were symptomatic cerebral infarction in one (3%) patient and deterioration in modified Rankin Scale score (≥2) at discharge compared to the preoperative scores in two (7%) patients. No cerebral contusions were observed.</p><p>Conclusion: Cerebral angiography images were processed using a workstation for presurgical simulation. We were able to recognize the perforators and microvessels surrounding the aneurysm, cortical vein structure, and positioning of the existing coils in detail. This technique is useful for the presurgical simulation of cerebral aneurysm clipping.</p>
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 50 (3), 185-192, 2022
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
- 1390855975916417792
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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
- OpenAIRE
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- 抄録ライセンスフラグ
- 使用不可
