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2015 ; 6
(ä): 90
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Efficacy of arachnoid plasty with collagen sheets and fibrin glue: An in vitro
experiment and a case review
#MMPMID26060599
Abe J
; Ichinose T
; Terakawa Y
; Tsuyuguchi N
; Tsuruno T
; Ohata K
Surg Neurol Int
2015[]; 6
(ä): 90
PMID26060599
show ga
BACKGROUND: Postoperative subdural fluid collection sometimes occurs after
clipping of cerebral aneurysms. Arachnoid plasty is used to prevent such
postoperative complications; however, the optimal materials for arachnoid plasty
remain unclear. In this study, we aimed to clarify the optimal materials for
arachnoid plasty and report our experience of arachnoid plasty after clipping of
unruptured aneurysms. METHODS: In an in vitro experiment, adhesive strengths of
three materials permitted for use in the intradural space, such as collagen
sheets, gelatin sponge, and oxidized cellulose sheets, were measured by assessing
their water pressure resistance. Then, 80 consecutive cases surgically treated
unruptured cerebral aneurysms were retrospectively reviewed to examine the
occurrence rate of postoperative subdural fluid collection. RESULTS: The collagen
sheet exhibited the greatest adhesive strength, so we used collagen sheets for
the arachnoid plasty procedures. In all of these cases, arachnoid plasty was
performed with fibrin glue-soaked collagen sheets. No postoperative subdural
fluid collection, inflammation, or allergic reactions occurred in any case.
CONCLUSIONS: The present study suggests that collagen sheet might be one of the
optimal materials for arachnoid plasty. This technique is simple and may be
effective to prevent subdural fluid collection after clipping.