Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
9
pubmed:dateCreated
2008-9-19
pubmed:abstractText
According to the recent guideline of the Japanese Society for Detection of Asymptomatic Brain Diseases, it should be considered that the operative indication for unruptured cerebral aneurysms is larger than 5 mm, but we have often encountered patients with subarachnoid hemorrhage (SAH) caused by small ruptured cerebral aneurysms. The aim of our study was to evaluate retrospectively the characteristics of ruptured cerebral aneurysms under 5 mm in size on 3-dimensional digital rotation angiography (3D-RA). Eighty patients who presented with acute SAH caused by ruptured aneurysms were admitted in our hospital between January 2003 and September 2007. All patients were examined with 3D-RA and divided into two groups by aneurysmal size; group A was under 5 mm (N = 18), group B was larger than 5 mm (N = 62). Of aneurysms under 5 mm, 45% were located in the anterior communicating artery or anterior cerebral artery, 78% were female and 78% were treated with clipping. Clips of mini and/or the slim type were often applied for aneurysmal clipping. 3D-RA images were useful not only in identification of smaller aneurysms, but also in assessing aneurysmal morphology and relationships to neighboring vessels. However, in the cases of small aneurysms, it is necessary to remember that aneurysms become blood blister-shaped or thrombosed. The clipping for the aneurysm should be performed with consideration of choice for clips consisting of various types according to aneurysmal morphology.
pubmed:language
jpn
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
0301-2603
pubmed:author
pubmed:issnType
Print
pubmed:volume
36
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
775-80
pubmed:meshHeading
pubmed:year
2008
pubmed:articleTitle
[Evaluation of ruptured cerebral aneurysms under 5 mm in size on 3D-rotation angiography].
pubmed:affiliation
Department o f Neurosurgery, Hiroshima City Asa Hospital, Japan.
pubmed:publicationType
Journal Article, English Abstract