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Neuroendovascular Therapy for Cavernous Sinus Dural Arteriovenous Fistulas based on Functional Angiology(Microneurosurgical Anatomy)
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- Satow Tetsu
- Department of Neurosurgery, National Cerebral and Cardiovascular Center
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- Murao Kenichi
- Department of Neuroendovascular Therapy, Shiroyama Hospital
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- Okawa Masakazu
- Department of Neurosurgery, National Cerebral and Cardiovascular Center
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- Nishida Takeo
- Department of Neurosurgery, National Cerebral and Cardiovascular Center
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- Masuda Kosuke
- Department of Neurosurgery, National Cerebral and Cardiovascular Center
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- Miyamoto Susumu
- Department of Neurosurgery, Kyoto University Graduate School of Medicine
Bibliographic Information
- Other Title
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- 解剖に基づく海綿静脈洞部硬膜動静脈瘻の血管内治療(海綿静脈洞,I 頭蓋底静脈の基礎と臨床-第22回微小脳神経外科解剖セミナーより-,微小脳神経外科解剖)
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Description
In treating cavernous sinus dural arteriovenous fistulas (CSdAVFs), a thorough understanding of angioarchi-tecture, especially identifying the shunt (s), is mandatory to obtain optimal results by endovascular therapy. In this article, the functional angiology of the cavernous sinus and surrounding structure, which is necessary to obtain the pathophysiology of this disease, is described in the first half. In the latter half, a practical endovascular therapy for CSdAVF, focusing on the idea of superselective shunt occlusion (SSSO) is presented. Since 2003, we have chosen this method as our first line therapy for treating CSdAVFs, and successful SSSO was achieved in nine cases out of fourteen (64.3%). SSSO is highly possible in cases where the shunt segment was obviously identified outside the cavernous sinus. This method can achieve the angiographic cure of CSdAVFs while preserving the normal venous drainage, and since there is less chance of unfavorable permanent cranial nerve palsy it should be considered before sinus packing or mere obliteration of the dangerous venous drainages.
Journal
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- Japanese journal of neurosurgery
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Japanese journal of neurosurgery 20 (2), 31-41, 2011-10-20
The Japanese Congress of Neurological Surgeons
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Details 詳細情報について
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- CRID
- 1573105976881146240
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- NII Article ID
- 110008790776
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- NII Book ID
- AN10380506
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- ISSN
- 0917950X
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- Text Lang
- ja
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- Data Source
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- CiNii Articles