Prof. Yuichi MurayamaJapan
The JIkei University
| 2013 to present | Chairman of Neurosurgery, The Jikei University school of Medicine |
| 2015 to present | Director, Stroke center, The Jikei University school of Medicine |
| 2004 - present | Professor of Neurosurgery, Jikei University school of Medicine. |
| 2004 - 2014 | Professor, Division of Interventional Neuroradiology, UCLA School of Medicine. |
| - | Board committee member: Japanese Society of Neuroendovascular Therapy |
Endovascular Neurosurgery
Dr. Yuichi Murayama is a professor and chairman of Department of Neurosurgery at The Jikei University School of Medicine, Tokyo, Japan. He served as a Professor of the Division of Interventional Neuroradiology, at UCLA School of Medicine. His academic interest is Stroke related innovation, including endovascular devices, such as coils or stents, IT stroke network system, and Hybrid OR system. Currently he serves as a medical device committee of Japan. He trains hybrid Neurosurgeons who can perform both open vascular technique and endovascular treatment.
Therapeutic Strategy of Unruptured Aneurysms: Role of simulation for the Selection of optimal Endovascular devices
1110 08:15-08:25
AASNS / AANS Joint Session "Spetzler Symposium"/305
OBJECTIVE: Endovascular therapy was established last 3 decade as an effective treatment for ruptured/unruptured cerebral aneurysms. We report the current status and future direction of endovascular aneurysms therapy.
METHODS: All patients treated with endovascular technique for their intracranial aneurysms at our hospital between 2003 and 2024 were reviewed. All procedures were performed in the Hybrid operating rooms in our institution.
RESULTS and CONCLUSIONS: Overall 2876 (2328 endovascular/498 clip) unruptured aneurysms were treated. For all unruptured aneurysms, we create 3D printer aneurysm model for optimal microcatheter shaping. Pre-treatment simulation was performed for the FD or WEB cases. Overall complication rate reduced up to 1.8% with simulation technology and new generation devices. In this report we discuss optimal treatment strategy with modern endovascular technique/devices.
Current Status of the Hybrid Operating Room for Neurosurgery
1108 15:05-15:20
Cerebrovascular/304B
Purpose: The authors describe clinical innovation of the modern Neurosurgical Hybrid operation rooms (OR) at the Jikei University hospital.
Methods: We have installed a bi-plane digital subtraction angiography (DSA) system and 2 Robotic DSAs in our Hybrid ORs. These ORs, which have 3D digital subtraction angiography (DSA) imaging and microsurgery capabilities, allow neurosurgeons to perform a wide array of neurosurgical and endovascular procedures. Since November 2003, more than 6000 procedures have been performed in the Hybrid ORs.
Results: Conventional endovascular /vascular diseases, brain tumor and spine procedures were successfully performed using intraoperative imaging assistance. Intra-operative 2D /3D/4D angiography and C-arm CT images (DynaCT) including perfusion CT were easily performed without moving OR tables.