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The histological findings of the original occluded prosthetic graft are also described. CLINICAL PRESENTATION: A 63-year-old woman with a history of Takayasu arteritis was admitted to our hospital with a history of progressive dizziness, frequent syncopal attacks, and repetitive blurred vision in the left eye. She had undergone repeat transthoracic bypass surgeries, including grafting with the use of a Gore-Tex (W.L. Gore \u0026 Associates, Inc., Flagstaff, AZ) prosthesis between the left external ilioaxillary bypass and the left CCA. However, cerebral angiography demonstrated total occlusion of the left CCA, the right ICA, and the bilateral subclavian arteries. On admission, I-iodoamphetamine single-photon emission computed tomography showed a decreased cerebrovascular reactivity to acetazolamide in the bilateral cerebral hemispheres. 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Progressing takayasu arteritis successfully treated by common carotid-internal carotid crossover bypass grafting: technical case report.
http://hdl.handle.net/10069/23080
http://hdl.handle.net/10069/23080d68f9d38-b6e1-4884-bea5-2b530f69595b
名前 / ファイル | ライセンス | アクション |
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Neu62_1178.pdf (270.4 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2010-03-24 | |||||
タイトル | ||||||
タイトル | Progressing takayasu arteritis successfully treated by common carotid-internal carotid crossover bypass grafting: technical case report. | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Carotidcarotid crossover bypass | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Prosthesis | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Takayasu arteritis | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Vein graft | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
Hiu, Takeshi
× Hiu, Takeshi× Kitagawa, Naoki× Suyama, Kazuhiko× Nagata, Izumi |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | OBJECTIVE: This report describes a unique case of Takayasu arteritis with occlusion of the left common carotid artery (CCA) and the right internal carotid artery (ICA), which was successfully treated by right CCA-left ICA crossover bypass grafting using the saphenous vein. The histological findings of the original occluded prosthetic graft are also described. CLINICAL PRESENTATION: A 63-year-old woman with a history of Takayasu arteritis was admitted to our hospital with a history of progressive dizziness, frequent syncopal attacks, and repetitive blurred vision in the left eye. She had undergone repeat transthoracic bypass surgeries, including grafting with the use of a Gore-Tex (W.L. Gore & Associates, Inc., Flagstaff, AZ) prosthesis between the left external ilioaxillary bypass and the left CCA. However, cerebral angiography demonstrated total occlusion of the left CCA, the right ICA, and the bilateral subclavian arteries. On admission, I-iodoamphetamine single-photon emission computed tomography showed a decreased cerebrovascular reactivity to acetazolamide in the bilateral cerebral hemispheres. Moreover, cerebral angiography revealed an occlusion of the Gore-Tex graft, whereas the left ICA was opacified through the retrograde filling in the left external carotid artery. INTERVENTION: Crossover bypass grafting was performed using the saphenous vein between the right CCA and the left ICA. The Gore-Tex graft was partially removed, and myointimal hypertrophy with an inflammatory response around the wall was found histologically. The postoperative course was uneventful. A normalized cerebrovascular reserve in both cerebral hemispheres was demonstrated on I-iodoamphetamine single-photon emission computed tomography. CONCLUSION: Although it is not frequently indicated, crossover bypass grafting using the saphenous vein between bilateral carotid arteries is considered to be a feasible alternative procedure in patients with Takayasu arteritis. | |||||
内容記述 | ||||||
内容記述タイプ | Other | |||||
内容記述 | This is a non-final version of an article published in final form in Neurosurgery, 65(5), pp.1178-1179; 2008. | |||||
書誌情報 |
Neurosurgery 巻 62, 号 5, p. 1178-1179, 発行日 2008-05 |
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出版者 | ||||||
出版者 | Lippincott Williams & Wilkins Ltd. | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0148396X | |||||
EISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 15244040 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA0075497X | |||||
PubMed番号 | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | PMID | |||||
関連識別子 | 18580792 | |||||
DOI | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | DOI | |||||
関連識別子 | 10.1227/01.neu.0000325887.07657.25 | |||||
権利 | ||||||
権利情報 | Copyright © by the Congress of Neurological Surgeons | |||||
著者版フラグ | ||||||
出版タイプ | AM | |||||
出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Neurosurgery, 65(5), pp.1178-1179; 2008 |