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OtherNeurointervention

Preventing Spontaneous Thrombosis of Experimental Sidewall Aneurysms: The Oblique Cut

Yoshikazu Yoshino, Yasunari Niimi, Joon K. Song, Shinya Khoyama, Yong Sam Shin and Alejandro Berenstein
American Journal of Neuroradiology June 2005, 26 (6) 1363-1365;
Yoshikazu Yoshino
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Yasunari Niimi
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Joon K. Song
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Shinya Khoyama
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Yong Sam Shin
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Alejandro Berenstein
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    Fig 1.

    Schematic drawing of the oblique-cut method of constructing a sidewall aneurysm.

    The aneurysm neck segment of venous pouch harvested from the EJV was cut approximately 45° angle to the aneurysm long axis (arrowhead). An elliptical arteriotomy, approximately 6 mm long, is created on the lateral end of the right CCA. The neck segment of the pouch is then sutured along the edges of the arteriotomy by using 6–0 Proline sutures, resulting in a berry-shaped sidewall aneurysm.

  • Fig 2.
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    Fig 2.

    Intraoperative view and DSA image of a sidewall aneurysm constructed obliquely to parent artery. The aneurysm remained patent on 30-day follow-up angiogram (A, C, arrow). Intraoperative view and DSA image of a sidewall aneurysm constructed conventionally perpendicular to the long axis of the parent vessel. The aneurysm was thrombosed 27 days after construction. (B, D, arrow).

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  • Group A=Standard. Group B=Oblique cut

    Mean follow up periodNo. of patent aneurysms (%)No. of partially thrombosed aneurysms (%)No. of completely thrombosed aneurysms (%)
    Group A (n = 11)30 days0 (0%)1 (9.1)10 (90.9)
    Group B (n=33)52 days32 (97%)1 (3)0 (0)
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American Journal of Neuroradiology: 26 (6)
American Journal of Neuroradiology
Vol. 26, Issue 6
1 Jun 2005
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Yoshikazu Yoshino, Yasunari Niimi, Joon K. Song, Shinya Khoyama, Yong Sam Shin, Alejandro Berenstein
Preventing Spontaneous Thrombosis of Experimental Sidewall Aneurysms: The Oblique Cut
American Journal of Neuroradiology Jun 2005, 26 (6) 1363-1365;

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Preventing Spontaneous Thrombosis of Experimental Sidewall Aneurysms: The Oblique Cut
Yoshikazu Yoshino, Yasunari Niimi, Joon K. Song, Shinya Khoyama, Yong Sam Shin, Alejandro Berenstein
American Journal of Neuroradiology Jun 2005, 26 (6) 1363-1365;
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