دورية أكاديمية
Complex and continuous change in hypothetic risk of rupture of intracranial cerebral aneurysms – Bleb mandala –
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 |
تدمد: | 22147519 |
---|---|
DOI: | 10.1016/j.inat.2021.101221 |