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Komplexe Aneurysmen der Hirnbasisarterien

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Schädelbasischirurgie

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Zusammenfassung

Komplexe und schwierige Aneurysmen sind definiert als Riesenaneurysmen (größer als 2 cm), fusiforme oder Mega-Dolicho-Aneurysmen sowie intrakavernös-perikavernöse Aneurysmen. Das operative Management dieser Aneurysmen bleibt eine große Herausforderung. Die meisten von ihnen können durch eine Kombination von Clipping und Mikroanastomosen-Backup-Bypass behandelt werden. Jedoch erfordern einige der sehr großen geschwungenen oder Riesenaneurysmen einen mikrochirurgischen Schädelbasis-High-Flow-Bypass, der als »Microsurgical Flow Diversion« bezeichnet wird. Dieses Kapitel fasst die persönliche operative Serie des Autors von 402 Fällen komplexer und schwieriger Aneurysmen zusammen. Verschiedene aktualisierte Schädelbasiszugänge und die Mikroanatomie werden ebenso wie verfeinerte Schädelbasis-Mikroinstrumente und spezielles Equipment im Detail beschrieben.

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Author information

Authors and Affiliations

  1. Division of Neurosurgery, Duke University Medical Center, Carolina Neuroscience Institute, 4030 Wake Forest Rd suite 115, NC 27612, Raleigh, USA

    Prof. Dr. T. Fukushima

  2. Department of Neurosurgery, Duke University INERF, 4030 Wake Forest Road Suite 115, NC 27609, Raleigh, USA

    Dr. G. Inoue & Dr. A. Zomorodi

Authors
  1. Prof. Dr. T. Fukushima
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  2. Dr. G. Inoue
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  3. Dr. A. Zomorodi
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Corresponding authors

Correspondence to T. Fukushima , G. Inoue or A. Zomorodi .

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Editors and Affiliations

  1. Karlsruhe, Deutschland

    Alexander König

  2. Karlsruhe, Deutschland

    Uwe Spetzger

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Fukushima, T., Inoue, G., Zomorodi, A. (2018). Komplexe Aneurysmen der Hirnbasisarterien. In: König, A., Spetzger, U. (eds) Schädelbasischirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-54672-7_15

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  • DOI: https://doi.org/10.1007/978-3-662-54672-7_15

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-54671-0

  • Online ISBN: 978-3-662-54672-7

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