Abstract:
:We present two cases of false aneurysm after carotid endarterectomy with primary arteriotomy closure. In both cases, infection appeared to be the precipitating cause. Both lesions were repaired with a saphenous vein patch graft, but infection in one patient persisted, and recurrence of a false aneurysm required ligation of the common carotid artery. There were no neurological sequelae in either patient. A review of the English language literature, our experience, and personal communications yielded 57 cases of false aneurysm. The overall incidence of false aneurysm after carotid endarterectomy was 0.30%. There was no significant difference in the incidence after endarterectomy alone and that after endarterectomy and patch grafting. A significant increase in neurological deficit occurred only when carotid ligation was used, with a morbidity/mortality of 50% in eight reported cases. Infection was the major cause of false aneurysm after endarterectomy; it occurred in 50% of cases closed primarily without patch grafting. Repair with a saphenous vein patch graft and monofilament synthetic suture, plus liberal use of antibiotics, should be considered in the treatment of this condition.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Branch CL Jr,Davis CH Jrdoi
10.1227/00006123-198609000-00014subject
Has Abstractpub_date
1986-09-01 00:00:00pages
421-5issue
3eissn
0148-396Xissn
1524-4040journal_volume
19pub_type
杂志文章相关文献
NEUROSURGERY文献大全abstract:BACKGROUND AND IMPORTANCE:Because of their rarity, the pathogenesis and clinical features of isolated spinal artery aneurysms are still unclear, and their diagnoses and treatments are challenging. We report a case of an isolated posterior spinal artery aneurysm and review previous reports thoroughly to identify the gen...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/NEU.0b013e31825ea539
更新日期:2012-09-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:Myofibroblastic tumors are members of a diverse spectrum of neoplastic and quasineoplastic lesions that occur most commonly during childhood and typically involve soft tissues. We present a case of a congenital reactive myofibroblastic tumor of the petrous bone (i.e., cranial fasciitis) that wa...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1097/00006123-200102000-00041
更新日期:2001-02-01 00:00:00
abstract::Traditionally, the ideal academic neurosurgeon has been a "quadruple threat," with excellence in clinical work, teaching, research, and administration. This tradition was best exemplified in Harvey Cushing, who developed the field of neurosurgery 90 years ago. This paradigm will probably have to change as academic neu...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000197139.61412.36
更新日期:2006-03-01 00:00:00
abstract:BACKGROUND:Older age has been associated with worse outcomes in low-grade gliomas (LGGs). Given their rarity in the older population, determining optimal treatment plans and patient outcomes remains difficult. OBJECTIVE:To retrospectively study LGG survival outcomes in an older population stratified by molecular genet...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyy149
更新日期:2019-02-01 00:00:00
abstract:OBJECTIVE:Fifty percent of implanted cerebrospinal fluid (CSF) shunts fail within 2 years, primarily because of obstruction of the proximal catheter. Percutaneous techniques to reduce the morbidity of shunt revision are being developed. The authors describe the development of a device that uses ultrasonic cavitation to...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000233968.80352.25
更新日期:2006-10-01 00:00:00
abstract:OBJECTIVE:We evaluated a combined technique designed for procedures requiring intraoperative language mapping. We planned to induce general anesthesia with endotracheal intubation and hyperventilation and then to awaken and extubate the patient for speech testing. After the latter, endotracheal reintubation and general...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199806000-00069
更新日期:1998-06-01 00:00:00
abstract:BACKGROUND:Although waterjet dissection has been well evaluated in intracranial pathologies, little is known of its qualities in peripheral nerve surgery. Theoretically, the precise dissection qualities could support the separation of nerves from adjacent tissues and improve the preservation of nerve integrity in perip...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e3181f9b0c8
更新日期:2010-12-01 00:00:00
abstract:INTRODUCTION:We evaluated the feasibility, usefulness, and limitations of near-infrared indocyanine green (ICG) videoangiography during procedures involving the extracranial vertebral artery (VA). METHODS:Nine patients (2 women, 7 men; mean age, 55 years) were evaluated at 2 neurosurgical centers. Near-infrared ICG vi...
journal_title:Neurosurgery
pub_type: 杂志文章,多中心研究
doi:10.1227/01.NEU.0000363596.52283.65
更新日期:2010-02-01 00:00:00
abstract:BACKGROUND AND IMPORTANCE:This article describes delayed endovascular revascularization in a patient with clinical and radiographic evidence of posterior circulation hemodynamic failure in the setting of intracranial occlusive lesions. CLINICAL PRESENTATION:A 48-year-old man presented with a 6-week history of progress...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e3182186811
更新日期:2011-07-01 00:00:00
abstract:OBJECTIVE:Cervical spinal cord stimulation (SCS) augments cerebral blood flow (CBF) in a number of animal models. The mechanisms underlying the cerebrovascular effects of SCS are not yet well delineated. In this study, we analyzed two alternative pathways in CBF alterations induced by SCS in rats, one involving direct ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000126949.28912.71
更新日期:2004-07-01 00:00:00
abstract:OBJECTIVE:A 10-year prospective clinical and magnetic resonance imaging study was undertaken to determine the natural history of venous malformations. We assessed the hemorrhage rate and morbidity associated with venous malformations of the brain. PATIENTS AND METHODS:From 1986 to 1996, 80 patients with venous malform...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199808000-00001
更新日期:1998-08-01 00:00:00
abstract:OBJECTIVE:Balancing the benefits of extensive tumor resection with the consequence of potential postoperative deficits remains a challenge in malignant astrocytoma surgery. Although studies have suggested that increasing extent of resection may benefit survival, the effect of new postoperative deficits on survival rema...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000349763.42238.E9
更新日期:2009-09-01 00:00:00
abstract::A case of thrombosis of the vertebral artery and an associated bursting fracture of the lower cervical spine is reported. Computed tomography revealed both the location and the spreading of the fractures of the injured spine. We recognized that the vertebral artery thrombosis was caused by an injury to the arterial wa...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198512000-00015
更新日期:1985-12-01 00:00:00
abstract::Using transcranial doppler ultrasonography, cerebral blood flow velocity was measured daily from both middle cerebral arteries in 121 patients who had suffered minor (n = 55), moderate (n = 16), or severe (n = 50) brain injury. Serial computed tomographic scans were performed to identify noncontusion-related infarctio...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1992-05-01 00:00:00
abstract:OBJECTIVE:For patients with internal carotid artery occlusion with advanced narrowing of the ipsilateral external carotid artery (ECA), we performed preventive carotid endarterectomy (CEA) for the ECA stenosis before superficial temporal artery (STA) to middle cerebral artery (MCA) anastomosis for internal carotid arte...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章
doi:10.1227/01.neu.0000326024.93724.16
更新日期:2008-05-01 00:00:00
abstract::Recent advances in electronics and microprocessors have enabled the development of a compact portable cerebral blood flow (CBF) machine capable of being transported to the patient's bedside. We have used such a device, the Novo Cerebrograph 2a, during the past 7 months on a regular basis in the day to day management o...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198410000-00008
更新日期:1984-10-01 00:00:00
abstract::Surgical resection of cerebral arteriovenous malformations is often complicated by persistent bleeding from the nidus, which is difficult to manage. It has often been mentioned that the difficulty of hemostasis is caused by the fragile and pathological nature of vessels of the nidus. This may be one reason, but I hypo...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200106000-00018
更新日期:2001-06-01 00:00:00
abstract:OBJECTIVE:We evaluated somatosensory and motor interhemispheric integration in four patients who underwent transection of different portions of the anterior corpus callosum (CC) for removal of an intraventricular cyst. The study goal was to relate their performances to the topographical organization of the CC. METHODS...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000163089.31657.08
更新日期:2005-07-01 00:00:00
abstract:OBJECTIVE:The goal was to develop a low-cost, national, neurosurgical emergency teleconsulting system that is independent of vendor computed tomographic (CT) or magnetic resonance imaging (MRI) scanner type. METHODS:Charge-coupled device scanners are used to digitize hard copies of CT and MRI scans. An enhanced optica...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199801000-00020
更新日期:1998-01-01 00:00:00
abstract::Although an association between optic glioma and neurofibromatosis is well recognized, there has been no previous analysis of cases relating the locus of tumor to the presence or absence of von Recklinghausen's disease. This paper presents the results of such an analysis as well as a description of the comparative his...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-197906000-00006
更新日期:1979-06-01 00:00:00
abstract::The effect of mannitol on focal cerebral ischemia in cynomolgus monkeys was studied. After the implantation of a snare ligature about the right middle cerebral artery (MCA) and of deep electrodes for measurement of cerebral blood flow, unanesthetized animals underwent 4-hour MCA occlusion. Ten monkeys were untreated, ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1982-10-01 00:00:00
abstract:BACKGROUND:The energy index (EI) is a measure of dose homogeneity within a target volume calculated by the integral dose divided by the product of prescription dose and tumor volume. OBJECTIVE:To assess whether a higher EI is associated with greater local control for brain metastases (BMs) treated by Gamma Knife radio...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000000750
更新日期:2015-07-01 00:00:00
abstract:OBJECTIVE:We developed an animal model to evaluate vascular trauma induced by endovascular devices that are proposed for the treatment of cerebrovascular diseases. METHODS:The model was constructed in six domestic swine by elongating the common carotid artery using interpositional grafts. Balloon catheters (n = 3), st...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000119759.56437.f5
更新日期:2004-05-01 00:00:00
abstract:OBJECTIVE:Anterior microforaminotomy for spondylotic cervical myelopathy is reported with surgical results. METHODS:A retrospective study was performed for 40 patients with spondylotic cervical myelopathy who had been surgically treated with anterior microforaminotomy at the University of Pittsburgh between April 1994...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:2002-11-01 00:00:00
abstract:BACKGROUND:Spinal cord dose limits are critically important for the safe practice of spine stereotactic body radiotherapy (SBRT). However, the effect of inherent spinal cord motion on cord dose in SBRT is unknown. OBJECTIVE:To assess the effects of cord motion on spinal cord dose in SBRT. METHODS:Dynamic balanced fas...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyaa202
更新日期:2020-06-04 00:00:00
abstract::Between June 1979 and May 1994, I performed 148 unilateral or bilateral sympathectomies on 247 limbs in 110 patients using a percutaneous radiofrequency technique, usually on an outpatient surgery basis. Patient ages ranged from 10 to 81 years, with 45 male and 65 female patients. Four patients had unsuccessfully unde...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1996-04-01 00:00:00
abstract::A striking and diffuse hemangiomatous architecture was identified by microscopic examination of bone specimens obtained at cranial synostectomy and from the craniofacial area of a young boy with Kleeblättschadel deformity and Crouzon's syndrome. A retrospective review of the histopathological appearance of bone specim...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198503000-00019
更新日期:1985-03-01 00:00:00
abstract::Radiosurgery is fundamentally the harnessing of energy and delivering it to a focal target for a therapeutic effect. The evolution of radiosurgical technology and practice has served toward refining methodologies for better conformal energy delivery. In the past, this has resulted in developing strategies for improved...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000306089.22894.4e
更新日期:2007-12-01 00:00:00
abstract:BACKGROUND:Endovascular coil embolization of ruptured aneurysms is performed under general anesthesia at most centers for perceived improved image quality and patient safety. OBJECTIVE:To report the feasibility of and outcomes associated with endovascular treatment of subarachnoid hemorrhage (SAH) patients with ruptur...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e31827b9183
更新日期:2013-02-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:Sciatic neuropathy rarely presents in nonpenetrating trauma because of protection of the nerve by the pelvis, the gluteal muscles, and the tissues in the posterior thigh. We present the case of a patient who fell and subsequently developed a traumatic venous varix of the inferior gluteal vein t...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000142354.54603.35
更新日期:2004-11-01 00:00:00