دورية أكاديمية

Complex and continuous change in hypothetic risk of rupture of intracranial cerebral aneurysms – Bleb mandala –

التفاصيل البيبلوغرافية
العنوان: Complex and continuous change in hypothetic risk of rupture of intracranial cerebral aneurysms – Bleb mandala –
المؤلفون: Kentaro Mori, Sadayoshi Watanabe, Yasuaki Nakao, Takuji Yamamoto, Terushige Toyooka, Kojiro Wada
المصدر: Interdisciplinary Neurosurgery, Vol 25, Iss , Pp 101221- (2021)
بيانات النشر: Elsevier, 2021.
سنة النشر: 2021
المجموعة: LCC:Surgery
LCC:Neurology. Diseases of the nervous system
مصطلحات موضوعية: Unruptured cerebral aneurysm, Bleb, Rupture prediction, Surgery, RD1-811, Neurology. Diseases of the nervous system, RC346-429
الوصف: Background: This study of the intraoperative microscopic findings indicated complex behavior of aneurysmal bleb affects the rupture risk. Methods: A total of 300 consecutive relatively small (mean 6.2 mm) unruptured ICAs were clipped from July 2005 to January 2019. Microscopically identified blebs were divided into four types based on external appearances. Type A bleb was a thick-walled bleb. Type B bleb was a thin-walled reddish bleb. Type C bleb was a healing organized bleb. Type D was a hemosiderin-laden bleb. Type B and D blebs were considered to be risky blebs for rupture. ICAs with bleb(s) were further categorized into two types, stable aneurysms and unstable aneurysms with Type B and/or D bleb(s). The number and nature of the blebs were compared with the demographic data of the patients and radiological findings of the ICAs to evaluate possible predictors of the hypothetic rupture risk. Results: Aneurysms tended to enlarge as the number of blebs increased (p = 0.073). High risk Type B bleb had significantly larger number of blebs (p
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2214-7519
Relation: http://www.sciencedirect.com/science/article/pii/S221475192100133X; https://doaj.org/toc/2214-7519
DOI: 10.1016/j.inat.2021.101221
URL الوصول: https://doaj.org/article/583ae0f0beab444f9087c5be18a884a2
رقم الأكسشن: edsdoj.583ae0f0beab444f9087c5be18a884a2
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:22147519
DOI:10.1016/j.inat.2021.101221