脳動脈瘤塞栓術における“sheep technique”の有用性
【緒言】脳動脈瘤塞栓術において，血管分岐が急峻でバルーンカテーテルの挿入が困難な場合，他のカテーテルを先行させバルーンカテーテルを追随させる“sheep technique”が知られている．【症例1】70歳，男性．未破裂中大脳動脈瘤で，右M2の分岐が急峻でバルーンカテーテル挿入が困難であり，sheep techniqueを用いてバルーン併用塞栓術を行い完全閉塞を得た．【症例2】71歳男性．破裂左内頚動脈分岐部瘤で，同様にsheep techniqueを用いてACAにバルーンカテーテルを誘導し良好な塞栓を得た．【結論】脳動脈瘤塞栓術において“sheep technique”が有用であった2例を報...
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| Published in | Journal of Neuroendovascular Therapy Vol. 7; no. 1; pp. 3 - 10 |
|---|---|
| Main Authors | , , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
特定非営利活動法人 日本脳神経血管内治療学会
2013
日本脳神経血管内治療学会 |
| Online Access | Get full text |
| ISSN | 1882-4072 2186-2494 |
| DOI | 10.5797/jnet.7.3 |
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| Abstract | 【緒言】脳動脈瘤塞栓術において，血管分岐が急峻でバルーンカテーテルの挿入が困難な場合，他のカテーテルを先行させバルーンカテーテルを追随させる“sheep technique”が知られている．【症例1】70歳，男性．未破裂中大脳動脈瘤で，右M2の分岐が急峻でバルーンカテーテル挿入が困難であり，sheep techniqueを用いてバルーン併用塞栓術を行い完全閉塞を得た．【症例2】71歳男性．破裂左内頚動脈分岐部瘤で，同様にsheep techniqueを用いてACAにバルーンカテーテルを誘導し良好な塞栓を得た．【結論】脳動脈瘤塞栓術において“sheep technique”が有用であった2例を報告した． |
|---|---|
| AbstractList | 【緒言】脳動脈瘤塞栓術において，血管分岐が急峻でバルーンカテーテルの挿入が困難な場合，他のカテーテルを先行させバルーンカテーテルを追随させる“sheep technique”が知られている．【症例1】70歳，男性．未破裂中大脳動脈瘤で，右M2の分岐が急峻でバルーンカテーテル挿入が困難であり，sheep techniqueを用いてバルーン併用塞栓術を行い完全閉塞を得た．【症例2】71歳男性．破裂左内頚動脈分岐部瘤で，同様にsheep techniqueを用いてACAにバルーンカテーテルを誘導し良好な塞栓を得た．【結論】脳動脈瘤塞栓術において“sheep technique”が有用であった2例を報告した． 「要旨」【緒言】脳動脈瘤塞栓術において, 血管分岐が急峻でバルーンカテーテルの挿入が困難な場合, 他のカテーテルを先行させバルーンカテーテルを追随させる"sheep technique"が知られている. 【症例1】70歳, 男性. 未破裂中大脳動脈瘤で, 右M2の分岐が急峻でバルーンカテーテル挿入が困難であり, sheep techniqueを用いてバルーン併用塞栓術を行い完全閉塞を得た. 【症例2】71歳男性. 破裂左内頚動脈分岐部瘤で, 同様にsheep techniqueを用いてACAにバルーンカテーテルを誘導し良好な塞栓を得た. 【結論】脳動脈瘤塞栓術において"sheep technique"が有用であった2例を報告した. |
| Author | 徳永, 浩司 菱川, 朋人 杉生, 憲志 春間, 純 伊丹, 尚多 豊嶋, 敦彦 清水, 智久 平松, 匡文 伊達, 勲 |
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| References | 3) Cottier JP, Pasco A, Gallas S, et al: Utility of balloon-assisted Guglielmi detachable coiling in the treatment of 49 cerebral aneurysms: a retrospective multicenter study. AJNR 22:345-351, 2001. 11) Nelson PK, Levy DI: Balloon-assisted coil embolization of wide-necked aneurysms of the internal carotid artery: medium-term angiographic and clinical follow-up in 22 patients. AJNR 22:19-26, 2001. 4) Clarencon F, Perot G, Biondi A, et al: Use of the Ascent balloon for a 2-in-1 remodelling technique: feasibility and initial experience: case report. Neurosurgery 70:170-173, 2012. 1) Aletich VA, Debrun GM, Misra M, et al: The remodeling technique of balloon-assisted Guglielmi detachable coil placement in wide-necked aneurysms: experience at the University of Illinois at Chicago. J Neurosurg 93:388-396,2000. 6) Lee TH, Choi CH, Park KP, et al: Techniques for intracranial stent navigation in patients with tortuous vessels. AJNR 26:1375-1380, 2005. 12) Sluzewski M, van Rooij WJ, Beute GN, et al: Balloon-assisted coil embolization of intracranial aneurysms: incidence, complications, and angiography results. J Neurosurg 105:396-399, 2006. 5) Henkes H, Fischer S, Weber W, et al: Endovascular coil occlusion of 1811 intracranial aneurysms: early angiographic and clinical results. Neurosurgery 54:268-285, 2004. 10) Moret J, Cognard C, Weill A, et al: Reconstruction technic in the treatment of wide-neck intracranial aneurysms. Long-term angiographic and clinical results. Apropos of 56 cases. J Neuroradiol 24:30-44, 1997. 7) Lefkowitz MA, Gobin YP, Akiba Y, et al: Balloon-assisted Guglielmi detachable coiling of wide-necked aneurysms: Part II -clinical results. Neurosurgery 45:531-538, 1999. 8) Molyneux A, Kerr R, Stratton I, et al: International Subarachnoid Aneurysm Trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised trial. Lancet 360:1267-1274, 2002. 2) Cekirge HS, Yavuz K, Geyik S, et al: HyperForm balloon remodeling in the endovascular treatment of anterior cerebral, middle cerebral, and anterior communicating artery aneurysms: clinical and angiographic follow-up results in 800 consecutive patients. J Neurosurg 114:944-953, 2011. 9) Molyneux AJ, Kerr RS, Yu LM, et al: International subarachnoid aneurysm trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised comparison of effects on survival, dependency, seizures, rebleeding, subgroups, and aneurysm occlusion. Lancet 366:809-817, 2005. |
| References_xml | – reference: 2) Cekirge HS, Yavuz K, Geyik S, et al: HyperForm balloon remodeling in the endovascular treatment of anterior cerebral, middle cerebral, and anterior communicating artery aneurysms: clinical and angiographic follow-up results in 800 consecutive patients. J Neurosurg 114:944-953, 2011. – reference: 9) Molyneux AJ, Kerr RS, Yu LM, et al: International subarachnoid aneurysm trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised comparison of effects on survival, dependency, seizures, rebleeding, subgroups, and aneurysm occlusion. Lancet 366:809-817, 2005. – reference: 4) Clarencon F, Perot G, Biondi A, et al: Use of the Ascent balloon for a 2-in-1 remodelling technique: feasibility and initial experience: case report. Neurosurgery 70:170-173, 2012. – reference: 11) Nelson PK, Levy DI: Balloon-assisted coil embolization of wide-necked aneurysms of the internal carotid artery: medium-term angiographic and clinical follow-up in 22 patients. AJNR 22:19-26, 2001. – reference: 1) Aletich VA, Debrun GM, Misra M, et al: The remodeling technique of balloon-assisted Guglielmi detachable coil placement in wide-necked aneurysms: experience at the University of Illinois at Chicago. J Neurosurg 93:388-396,2000. – reference: 3) Cottier JP, Pasco A, Gallas S, et al: Utility of balloon-assisted Guglielmi detachable coiling in the treatment of 49 cerebral aneurysms: a retrospective multicenter study. AJNR 22:345-351, 2001. – reference: 7) Lefkowitz MA, Gobin YP, Akiba Y, et al: Balloon-assisted Guglielmi detachable coiling of wide-necked aneurysms: Part II -clinical results. Neurosurgery 45:531-538, 1999. – reference: 12) Sluzewski M, van Rooij WJ, Beute GN, et al: Balloon-assisted coil embolization of intracranial aneurysms: incidence, complications, and angiography results. J Neurosurg 105:396-399, 2006. – reference: 10) Moret J, Cognard C, Weill A, et al: Reconstruction technic in the treatment of wide-neck intracranial aneurysms. Long-term angiographic and clinical results. Apropos of 56 cases. J Neuroradiol 24:30-44, 1997. – reference: 8) Molyneux A, Kerr R, Stratton I, et al: International Subarachnoid Aneurysm Trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised trial. Lancet 360:1267-1274, 2002. – reference: 6) Lee TH, Choi CH, Park KP, et al: Techniques for intracranial stent navigation in patients with tortuous vessels. AJNR 26:1375-1380, 2005. – reference: 5) Henkes H, Fischer S, Weber W, et al: Endovascular coil occlusion of 1811 intracranial aneurysms: early angiographic and clinical results. Neurosurgery 54:268-285, 2004. |
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| Snippet | 【緒言】脳動脈瘤塞栓術において，血管分岐が急峻でバルーンカテーテルの挿入が困難な場合，他のカテーテルを先行させバルーンカテーテルを追随させる“sheep technique”が知られている．【症例1】70歳，男性．未破裂中大脳動脈瘤で，右M2の分岐が急峻でバルーンカテーテル挿入が困難であり，sheep... 「要旨」【緒言】脳動脈瘤塞栓術において, 血管分岐が急峻でバルーンカテーテルの挿入が困難な場合, 他のカテーテルを先行させバルーンカテーテルを追随させる"sheep technique"が知られている. 【症例1】70歳, 男性. 未破裂中大脳動脈瘤で, 右M2の分岐が急峻でバルーンカテーテル挿入が困難であり,... |
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| Title | 脳動脈瘤塞栓術における“sheep technique”の有用性 |
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