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19건 · 최신순-
Multiple intracranial aneurysms: the role for simultaneous open microsurgical treatment.
[OBJECTIVE] Intracranial aneurysms (IAs) occur in up to 6% of adults, with multiple IAs (MIAs), which are associated with higher clinical risks, occurring in up to one-third of this population. Treatment for MIAs includes open surgical, end…
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Three-Vessel Anastomosis for Direct Multiterritory Cerebral Revascularization: Case Series.
[BACKGROUND AND OBJECTIVE] Cerebral revascularization of multiple territories traditionally requires multiple constructs, serial anastomoses, or a combination of direct and indirect approaches. A novel 3-vessel anastomosis technique allows …
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Open Surgical Treatment of Middle Cerebral Artery Aneurysms: A Single-Center Series in the Endovascular Era.
[OBJECTIVE] We review the outcomes of open surgical treatment of middle cerebral artery aneurysms (MCAAs) at a single center, focusing on aneurysm obliteration rates and functional outcomes at the most recent follow-up. These findings can b…
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Preservation of cranial nerve function in large and giant trigeminal schwannoma resection: a case series.
[BACKGROUND] Trigeminal schwannomas (TSs) are intracranial tumors that can cause significant brainstem compression. TS resection can be challenging because of the risk of new neurologic and cranial nerve deficits, especially with large (≥ 3…
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Subtemporal Approach for the Treatment of Ruptured and Unruptured Distal Basilar Artery Aneurysms: Is There a Contemporary Use?
[BACKGROUND AND OBJECTIVES] Distal basilar artery aneurysms (DBAs) are high-risk lesions for which endovascular treatment is preferred because of their deep location, yet indications for open clipping nonetheless remain. The subtemporal app…
- Triple Vessel Extracranial-Intracranial Bypass and Distal Clip Occlusion for Giant, Partially Thrombosed Pediatric Fusiform Middle Cerebral Artery Aneurysm: 2-Dimensional Operative Video.
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A Novel Combined Microsurgical and Endovascular Approach for Type II Endoleak Embolization Through Direct Puncture of a Lumbar Segmental Artery: A Technical Case Instruction.
[BACKGROUND AND IMPORTANCE] Despite the advances in endovascular aortic repair techniques, type II endoleaks with aneurysm sac expansion remain frequent and challenging problems. [CLINICAL PRESENTATION] An elderly gentleman underwent a com…
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Botulinum Toxin Application for Treatment of Graft Vasospasm: A Reverse Translational Study.
Vascular graft vasospasm is a lethal risk when using grafts for revascularization and reconstructive surgery. Revascularization is a treatment modality for ischemic diseases including Moyamoya disease that requires bypass surgery. Cerebrova…
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Microsurgical Excision of Ruptured Lenticulostriate Artery Aneurysm.
Lenticulostriate artery aneurysms are uncommon lesions, usually found in adults after hemorrhage. Despite their challenging location, mortality rates after initial hemorrhage are favorable. Securing the hemorrhage source is critical but may…
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Trans-lamina Terminalis Approach for Resection of Third Ventricular Tumor.
Granular cell tumors are rare vascular neoplastic lesions of the sellar and suprasellar region that usually arise from the pituitary stalk but can originate as low as the posterior pituitary or as high as the tuber cinereum. Complete resect…
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Frontotemporal Approach for Infectious Aneurysm Trapping and Superficial Temporal Artery-Middle Cerebral Artery Bypass.
Although neurotropic, the varicella-zoster virus (VZV) is a rare cause of mycotic cerebral aneurysms. As with other mycotic aneurysms, medical management can provide complete resolution. Surgery for refractory aneurysms can be complicated b…
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Laminectomy at T4 and T5 for Resection of Symptomatic Cavernous Malformation.
Although rare, intramedullary spinal cavernous malformations have a 1.4%-6.8% annual hemorrhage risk and can cause significant morbidity. Prior hemorrhage and size >1 cm are risk factors for future hemorrhage that, in addition to notable or…
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Arteriovenous malformation surgery in children: the Rady Children's Hospital experience (2002-2019).
[PURPOSE] Compared to adult AVMs, there is a paucity of data on the microsurgical treatment of pediatric AVMs. We report our institutional experience with pediatric AVMs treated by microsurgical resection with or without endovascular emboli…
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Combined subtemporal and pterional approach for clipping of multiple aneurysms.
[BACKGROUND] Despite ongoing improvements in endovascular techniques, open surgical management of basilar apex aneurysms is occasionally necessary.[2] Critical dissection of perforating vessels from the aneurysm is facilitated by the latera…
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Keyhole Microsurgical Middle Fossa Arachnoid Cyst Fenestration: 2-Dimensional Operative Video.
Surgical options for symptomatic intracranial arachnoid cysts include cyst shunting and microscopic or endoscopic fenestration. We advocate a microsurgical keyhole approach for the durable fenestration of middle fossa arachnoid cysts, takin…
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Discrepancy in Neurologic Outcomes Following Aneurysmal Subarachnoid Hemorrhage as a Function of Socioeconomic Class.
[OBJECTIVE] To investigate potential health care discrepancies in patients with ruptured cerebral aneurysms undergoing microsurgical intervention. [METHODS] We retrospectively reviewed patients with ruptured intracranial aneurysms treated …
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Botulinum toxin to improve vessel graft patency in cerebral revascularization surgery: report of 3 cases.
Surgical revascularization continues to play an important role in the management of complex intracranial aneurysms and ischemic cerebrovascular disease. Graft spasm is a common complication of bypass procedures and can result in ischemia or…
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Role of botulinum neurotoxin-A in cerebral revascularization graft vasospasm prevention: current state of knowledge.
Graft stenosis and occlusion remain formidable complications in cerebral revascularization procedures, which can lead to significant morbidity and mortality. Graft vasospasm can result in early postoperative graft stenosis and occlusion and…
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Suction assisted liposuction does not impair the regenerative potential of adipose derived stem cells.
[BACKGROUND] Adipose-derived stem cells (ASCs) have been identified as a population of multipotent cells with promising applications in tissue engineering and regenerative medicine. ASCs are abundant in fat tissue, which can be safely harve…