{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T05:22:18Z","timestamp":1738819338760,"version":"3.37.0"},"reference-count":0,"publisher":"Ideggyogyaszati Szemle Journal","issue":"1-2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ideggy\u00f3gy\u00e1szati szemle"],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:p>A subarachnoidealis v\u00e9rz\u00e9ssel j\u00e1r\u00f3 dissectio instabil, vesz\u00e9lyes \u00e1llapot, mert magas\na reruptura ar\u00e1nya. A dissecti\u00f3s pseudoaneurysma mortalit\u00e1sa az agyi aneurysm\u00e1k\nk\u00f6z\u00fcl a legrosszabb. A subarachnoidealis\nv\u00e9rz\u00e9st okoz\u00f3 dissecti\u00f3s pseudoaneurysm\u00e1k\nakut f\u00e1zisban az esetek d\u00f6nt\u0151 t\u00f6bbs\u00e9g\u00e9ben\nendovascularis beavatkoz\u00e1ssal kezelend\u0151ek.\nAz \u00e9letment\u0151 beavatkoz\u00e1st s\u00fcrg\u0151ss\u00e9ggel kell\nelv\u00e9gezni. A kezel\u00e9si elv alapj\u00e1n a beavatkoz\u00e1sok k\u00e9t csoportra oszthat\u00f3k: a sz\u00fcl\u0151\u00e9r elz\u00e1r\u00e1s\u00e1val j\u00e1r\u00f3 dekonstrukt\u00edv technik\u00e1k, illetve\na sz\u00fcl\u0151\u00e9r megtart\u00e1s\u00e1val j\u00e1r\u00f3 rekonstrukt\u00edv\ntechnik\u00e1k. Rekonstrukt\u00edv endovascularis\nkezel\u00e9s sor\u00e1n jelenleg flow-divertereket\nhaszn\u00e1lunk, ezek h\u00e1tr\u00e1nya, hogy kett\u0151s\nthrombocytaaggreg\u00e1ci\u00f3s kezel\u00e9st ig\u00e9nyelnek,\nami nehez\u00edti vagy megakad\u00e1lyozza tov\u00e1bbi\nny\u00edlt idegseb\u00e9szeti m\u0171t\u00e9tek kivitelez\u00e9s\u00e9t.\nDekonstrukt\u00edv technika a dissectio ered\u00e9s\u00e9t\u0151l proximalisan kivitelezett sz\u00fcl\u0151\u00e9relz\u00e1r\u00e1s.\nMindk\u00e9t technika alkalmaz\u00e1s\u00e1val j\u00f3 radiol\u00f3giai \u00e9s klinikai eredm\u00e9ny \u00e9rhet\u0151 el. Esetismertet\u00e9s\u00fcnkben fiatal fi\u00fa eszm\u00e9letlen \u00e1llapot\u00e1t massz\u00edv kamrav\u00e9rz\u00e9s \u00e9s \u00e1llom\u00e1nyv\u00e9rz\u00e9s\nokozta, melynek h\u00e1tter\u00e9ben A2 dissecti\u00f3s\npseudoaneurysma ruptur\u00e1ja \u00e1llt. Urgens m\u00f3don sz\u00fcl\u0151\u00e9relz\u00e1r\u00e1st v\u00e9gezt\u00fcnk a Heubnerart\u00e9ria meg\u00f3v\u00e1sa mellett. Kezel\u00e9s\u00fcnkkel\nt\u00fcnetmentes gy\u00f3gyul\u00e1st siker\u00fclt el\u00e9rni.<\/jats:p>","DOI":"10.18071\/isz.78.0063","type":"journal-article","created":{"date-parts":[[2025,2,5]],"date-time":"2025-02-05T13:25:09Z","timestamp":1738761909000},"page":"63-68","source":"Crossref","is-referenced-by-count":0,"title":["V\u00e9rzett arteria cerebri anterior dissecti\u00f3s aneurysma sikeres kezel\u00e9se"],"prefix":"10.18071","volume":"78","author":[{"given":"Csaba Zsolt","family":"Ol\u00e1h","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ildik\u00f3","family":"Pall\u00f3","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benedek","family":"Ol\u00e1h","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-0293-9803","authenticated-orcid":false,"given":"Attila","family":"Sas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"7411","published-online":{"date-parts":[[2025]]},"container-title":["Ideggy\u00f3gy\u00e1szati szemle"],"original-title":[],"link":[{"URL":"https:\/\/elitmed.hu\/en\/publications\/clinical-neuroscience\/successful-treatment-of-a-ruptured-anterior-cerebral-artery-dissecting-aneurysm\/pdf-open","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,5]],"date-time":"2025-02-05T13:25:18Z","timestamp":1738761918000},"score":1,"resource":{"primary":{"URL":"https:\/\/elitmed.hu\/en\/publications\/clinical-neuroscience\/successful-treatment-of-a-ruptured-anterior-cerebral-artery-dissecting-aneurysm"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":0,"journal-issue":{"issue":"1-2","published-online":{"date-parts":[[2025]]},"published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.18071\/isz.78.0063","relation":{},"ISSN":["0019-1442","2498-6208"],"issn-type":[{"value":"0019-1442","type":"print"},{"value":"2498-6208","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]}}}