adeor aneurysm clip

7/28/2019 Adeor Aneurysm Clip

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Ycd lidkr® Wdrbdjzoy Lbdurysa J`np N idsnhbdi my Indtdr vkb Udppd nb



lidkr ® nst dnbd dnbhdtrlhdbd Alrod idr Flan`nd vkb Udppd`nb"

L``d ]djctd idr Vdrmrdntubh, Bljcirujo #lujc luszuhswdnsd. kidr Dnbspdnjcd!

rubh ubi ]ðjohdwnbbubh nb Iltdbvdrlrmdntubhslb`lhdb l``dr Lrt snbi vkrmdcl`!

tdb ubi mdiðrfdb ubsdrdr sjcrnft`njcdb Hdbdcanhubh"

Jkpyrnhct =7<7 lidkr Adinjl` Ydjcbk`khnds HamC

7<!<778!I+D

Hdirujot nb Idutsjc`lbi

Ztlbi5 Zdptdamdr =7<7

Jkbtdbts

7= lidkr® Wdrbdjzoy Lbdurysa J`np Zystda

79!74Ycd Wdrbdjzoy Lbdurysa J`np

Zystda idsjrnptnkb

Idr Wdrbdjzoy Lbdurysal J`np

Mdsjcrdnmubh

76!78Fdlturds

Jk`kr jkinbh lbi ktcdr fdlturds

Dnhdbsjclftdb

Flrmokindrubh ubi wdntdrd Dnhdbsjclftdb

lidkr® ns l rdhnstdrdi trlidalro kf tcd vkb Udppd`nb Flan`y"

L`` rnhcts kf instrnmutnkb, l`sk my pcktkjkpy, rdprnbt kr stkrnbh

lbi rdjkvdry nb lby onbi kf iltl prkjdssnbh idvnjd lrd rdsdr!

vdi lbi rdqunrd kur wrnttdb lpprkvl`"

Jkpyrnhct =7<7 lidkr Adinjl` Ydjcbk`khnds HamC

7<!<778!I+D

Wrnbtdi nb Hdralby

Zdptdamdr =7<7

73!<9Ycd J`nps

<67 inffdrdbt akid`s

Ind J`nps

<67 vdrsjcndidbd Akid``d

Wrnbtdi kb rdjyj`di plpdr"

Hdirujot luf ]djyj`nbhplpndr"



Wrdfljd

Ycd blrrkw spljds mdtwddb tcd lbltkanjl` strujturds kf tcd mlsl` jnstdrbs lrd kbd kf tcd alekr jcl`!

`dbhds nb lbdurysa surhdry" Lt lidkr ®, wd obdw l rdvkùtnkblry skùtnkb wls rdqunrdi" Ycd Wdr!

bdjzoy Lbdurysa J`np Zystda ns lb nbvdbtnkb kf Indtdr vkb Udppd`nb lbi cls mddb idvd`kpdi nbj`ksd jkkpdrltnkb wntc tcd `dlinbh Hdralb bdurksurhdkb Lxd` Wdrbdjzoy #†." Nt mdjlad l an`d!

stkbd nb Lbdurysa J`nps uslhd"

Dnbfðcrubh

Ils hdrnbhd ]lualbhdmkt zwnsjcdb idb lbltkansjcdb Ztruoturdb std``t mdna W`ltzndrdb ubi @ösdb

vkb Lbdurysal!J`nps dnb hrkÛds Wrkm`da ilr" Ind Udnt wlr rdnf fðr dnbd rdvkùtnkbérd @ösubh" Ils

Wdrbdjzoy Lbdurysal J`np Zystda, dnbd Drfnbiubh vkb Indtdr vkb Udppd`nb nb dbhdr Uuslaadblr!

mdnt ant ida fðcrdbidb idutsjcdb Bdurkjcnrurhdb Lxd` Wdrbdjzoy #†. , mrnbht l``d Vkrlussdtzub!

hdb ant, ua l`s Adn`dbstdnb nb ind Hdsjcnjctd idr Lbdurysal!J`nps dnbzuhdcdb"

lidkr® Wdrbdjzoy Lbdurysa J`np Zystda 7:

<6!<8J`np Nbstruadbts

J`np lpp`ndrs lbi rdakvdrs

J`np Nbstruadbtd

J`np Lb`dhd! ubi Dbtblcadnbstruadbtd

<3!<>J`np Ztkrlhd

Ztkrlhd lbi rdprkjdssnbh skùtnkbs

J`np @lhdrubh

@lhdrubhs! ubi Lufmdrdntubhs`ösubhdb



lidkr® Wdrbdjzoy Lbdurysa J`np Zystda 79

YCD W]KM@DA

Ycd blrrkw spljds mdtwddb tcd lbltkanjl` strujturds kf tcd mlsl` jn!

stdrbs lbi tcd nantdi vndw lrd twk alekr jcl``dbhds nb lbdurysa surhdry"

YCD ZK@TYNKB

Ycd j`np nbstruadbt tlods ck`i kf tcd j`np nbsnid kf tcd j`np, n"d" cls sal`!

`dr dxtdrbl` inadbsnkbs tclb tcd j`np ntsd`f" Jkbsdqudbt`y, tcd j`np l`wlys

rdalnbs nb tcd surhdkb„s snhct"

ILZ W]KM@DA

Ils hdrnbhd ]lualbhdmkt zwnsjcdb idb lbltkansjcdb Ztruoturdb skwnd

ind sdcr dnbhdsjcrébotd Znjct std``db mdna W`ltzndrdb ubi @ösdb vkb

Lbdurysal!J`nps dnb hrkÛds Wrkm`da ilr"

IND @ÖZTBH

Ind J`np!Ulbhd auss idb J`np vkb nbbdb flssdb ubi skant o`dnbdrd Lu!

Ûdblmadssubhdb wnd idr J`np sd`mst clmdb" Idr hdslatd J`np mdfnbidt

snjc stdts ubdnbhdsjcrébot na M`njofd`i ids Jcnrurhdb"



DNHDBZJCLFYDB

Cdrhdstd``t lus dnbdr <77$ mnkokapltnm`db Yntlb`dhndrubh"

Wltdbtndrtds Idsnhb hlrlbtndrt anbnal`d vnsud``d Mdcnbidrubh"

Wlssdbid Ztdrn`nsndr! ubi Lufmdwlcrubhmkxdb"

Anbnal`d iurjc idb J`np vdrursljctd Mn`ilrtdflotd"

A]N okapltnmd` mns 9 Yds l"

Ltrlualtnsjcds Alu`prkfn` vdrcnbidrt dnb Vdrrutsjcdb ids J`nps"

Ztdrn` ubi ubstdrn` vdrpljot `ndfdrmlr"

FDLYT]DZ

Alid kf <77$ mnkjkapltnm`d tntlbnua l``ky"

Wltdbtdi idsnhb fkr anbnanzdi vnsul` kmstrujtnkb"

Justka alid stdrn`nzltnkb lbi stkrlhd jlsds"

Anbnanzltnkb kf nalhd lrtdfljts jrdltdi my tcd j`np"

Wdrbdjzoy Lbdurysa J`nps lrd A]N jkapltnm`d"

Ltrlualtnj elw prkfn`d tk prdvdbt j`np s`npplhd"

Lvln`lm`d stdrn`d ls wd`` ls bkb!stdrn`d"





Ltrlualtnj Elw Wrkfn`d Ycd pyrlanil` m`lid surfljd dffdjtnvd`y prdvdbts s`np!

pnbh" Ycns surfljd idsnhb ikum`ds tcd snzd kf tcd tnssud!ckìnbh!lrdl lbi dvdb`y

instrnmutds tcd j`ksnbh prdssurd tcrkuhckut tcd fu`` dbhtc kf tcd elw"

Ltrlualtnsjcds Alu`prkfn` Ils pyrlanidbföranhd Alu`prkfn` wnrot ida Z`npdf!

fdot wnrosla dbthdhdb" Ils Hdwdmd olbb snjc nb ind Ztruotur idr Alu`nbbdbf`é!

jcd `dhdb" Ind Ztruotur vdrikppd`t ind Cl`tdf`éjcd ubi draöh`njct dnbd

h`dnjcaéÛnhd Vdrtdnùbh ids Irujos kcbd ils Hdwdmd zu vdr`dtzdb"

Zdrnl` Buamdr Lb nbinvniul` sdrnl` buamdr ns dbhrlvdi kb dljc j`np tk dbsurd

kptnal` rdtrljdlmn`nty kf tcd wck`d prkiujtnkb prkjdss"

Zdrndbbuaadr Ind nb idb J`np dnbhrlvndrtd Zdrndbbuaadr hlrlbtndrt dnbd kptn!

al`d ]ðjovdrfk`hmlrodnt ids hdslatdb Cdrstd`ùbhsprkzdssds"

Jk`kr Jkinbh L Jk`kr Jkinbh Zystda fljn`ntltds tcd j`np sd`djtnkb lbi nidbtnfnjl!

tnkb prkjdss" Wdrbdjzoy Lbdurysa J`nps jkad nb tcrdd inffdrdbt vdrsnkbs"

Flrmokindrubh Ind flrm`njcd Odbbzdnjcbubh idr Wdrbdjzoy Lbdurysa J`nps dr!

`dnjctdrt ind Nidbtnfnoltnkb ubi Luswlc` ids rnjctnhdb J`nps" Ind J`nps okaadb ed

bljc Lusfðcrubh nb irdn vdrsjcndidbdb Flrmdb"

Ztlbilri Wdralbdbt J`nps

Anjrk lbi Anbn Wdralbdbt J`nps

Ydapkrlry J`nps




Altdrnl` Alid kf l``kydi Yntlbnua ljj" tk NZK 43:=!:" Ycns nap`lbt altdrnl` addts tcd cnh!

cdst altdrnl` stlbilri" Wdrbdjzoy Lbdurysal J`nps lrd A]N jkapltnm`d lbi bkb fdrrkalhbd!

tnj" A]+JY nalhd lrtdfljts lrd anbnanzdi lt up tk 9 Yds`l"

Altdrnl` Cdrhdstd``t lus dnbdr Yntlb`dhndrubh hdaéÛ NZK 43:=!:" Idr Nap`lbtlt!Xdrostkff

dbtsprnjct cöjcstdb Altdrnl`lbsprðjcdb, nst A]N okapltnmd`, bnjct fdrrkalhbdtnsjc ubi vdr!

ursljct dnbd hdrnbhd Lrtdflotmn`iubh na A]+JY mdn mns zu 9 Yds l"

Wljolhnbh Wdrbdjzoy J`nps lrd lvln`lm`d stdrn`d ls wd`` ls bkb!stdrn`d pljodi" Dljc Wdrbdjzoy

J`np ns nbinvniul``y pljodi nb l Adamrlbd Mkx" Ycd kutdr pljolhnbh lssurds liintnkbl` prktdj!

tnkb lbi hulrlbtdds l slfd trlbspkrt kf tcd j`np"

Liintnkbl` `lmd`s wntc lrtnj`d buamdr ls wd`` ls sdrnl` buamdr lssurd ljjurltd nidbtnfnjltnkb"

Ycdy scku`i md lttljcdi tk tcd pltndbt rdjkri" L`` furtcdr nbfkraltnkb kf tcd J`np sujc ls j`k!

snbh fkrjd, prkiujt idsjrnptnkb kr alxnaua kpdbnbh ns prnbtdi kb tcd kutdr pljolhnbh"

Vdrpljoubh Wdrbdjzoy Lbdurysal J`nps snbi stdrn` ubi ubstdrn` `ndfdrmlr" Edidr J`np wnri nb

dnbdr Adamrlbiksd hd`ndfdrt, wd`jcd snjc ua dnbdb alxnal`db Zjcutz zu hdwécr`dnstdb, nb

dnbdr zwdntdb Tavdrpljoubh mdfnbidt"

Uua @ndfdruaflbh dnbds edidb J`nps hdcördb zusétz`njcd Dtnodttdb, wd`jcd Nidbtnfnolt nkbs!

adroal`d wnd Lrtnod`! ubi Zdrndbbuaadr dbtcl`tdb" Indsd Dtnodttdb snbi zua Lbmrnbhdb luf

idr Wltndbtdblotd vkrhdsdcdb" Xdntdrd Nbfkraltnkbdb zua J`np wnd z"M" Zjc`ndÛorlft, hdblud

Wrkiuotmdsjcrdnmubh kidr Öffbubhswdntd mdfnbidb snjc luf ida Dtnodtt idr LuÛdbvdrpljoubh"

A]NZLFDYA

TW YK 9 YDZ@L



JLY" Bk" AB!7!:!YN AB!7!9!YN AB!7!8!YN AB!=7!:!YN

Idsnhb strlnhct + : aa strlnhct + 9 aa strlnhct + 8 aa =7·lbh`di + : aa

ANBN

Kpdbnbh wnitc + Öffbubhswdntd :": aa 9"7 aa 4"7 aa :": aa

Elw prkfn`d + Alu` sdrrltdi + hdzlcbt sdrrltdi + hdzlcbt sdrrltdi + hdzlcbt sdrrltdi + hdzlcbt

J`ksnbh prdssurd + Zjc`ndssorlft <<4 h + <"=3 B <<4 h + <"=3 B <<4 h + <"=3 B <<4 h + <"=3 B

anbn #purp`d + vnk`dtt. <5<

JLY" Bk" AJ!7!:!YN AJ!7!9!YN AJ!J!:!YN AJ!J!4!YN

Idsnhb strlnhct + : aa strlnhct + 9 aa jurvdi + : aa jurvdi + 4 aa

ANJ]K

Kpdbnbh wnitc + Öffbubhswdntd :": aa 9"7 aa :"= aa :"3 aa


J`ksnbh prdssurd + Zjc`ndssorlft <<7 h + <"73 B <<7 h + <"73 B <<7 h + <"73 B <<7 h + <"73 B

anjrk #alhdbtl. <5<

JLY" Bk" AB!=7!9!YN AB!=7!4!YN AB!=7!8!YN AB!94!:!YN

Idsnhb =7·lbh`di + 9 aa =7·lbh`di + 4 aa =7·lbh`di + 8 aa 94·lbh`di + : aa

ANBN

Kpdbnbh wnitc + Öffbubhswdntd :"6 aa 9"7 aa 4"7 aa :"7 aa






JLY" Bk" AB!94!9!YN AB!94!4!YN AB!94!8!YN AB!J!4!YN

Idsnhb 94·lbh`di + 9 aa 94·lbh`di + 4 aa 94·lbh`di + 8 aa jurvdi + 4 aa

ANBN

Kpdbnbh wnitc + Öffbubhswdntd :": aa :"6 aa 9"9 aa :"3 aa



JLY" Bk" AB!J!8!YN AB!ZJ!:!YN AB!ZJ!4!YN AB!ZL!:!YN

Idsnhb jurvdi + 8 aa snidwlris jurvdi + : aa snidwlris jurvdi + 4 aa 94·snidwlris lbh`di + : aa

ANBN

Kpdbnbh wnitc + Öffbubhswdntd 9"9 aa :"7 aa :"9 aa :"7 aa



JLY" Bk" AB!ZL!4!YN AB!ZL!8!YN

Idsnhb 94·snidwlris lbh di + 4 aa 94·snidwlris lbh`di + 8 aa

ANBN

Kpdbnbh wnitc + Öffbubhswdntd :"9 aa :"4 aa

Elw prkfn`d + Alu` sdrrltdi + hdzlcbt sdrrltdi + hdzlcbt

J`ksnbh prdssurd + Zjc`ndssorlft <<4 h + <"=3 B <<4 h + <"=3 B

anbn #purp`d + vnk`dtt. <5<

lidkr® Wdrbdjzoy Lbdurysa J`np Zystda 7>



JLY" Bk" ZY!7!8!YN ZY!7!>!YN ZY!7!<=!YN ZY!7!<4!YN

Idsnhb strlnhct + 8 aa strlnhct + > aa strlnhct + <= aa strlnhct + <4 aa

ZYLBIL]I

Kpdbnbh wnitc + Öffbubhswdntd 6"= aa 8"7 aa 3"7 aa >"= aa


J`ksnbh prdssurd + Zjc`ndssorlft <37 h + <"88 B <37 h + <"88 B <37 h + <"88 B <37 h + <"88 B

stlbilri #m`ud + m`lu. <5<

JLY" Bk" ZY!7!<3!YN ZY!=7!8!YN ZY!=7!>!YN ZY!=7!<=!YN

Idsnhb strlnhct + <3 aa =7·lbh`di + 8 aa =7·lbh`di + > aa =7·lbh`di + <= aa

ZYLBIL]I

Kpdbnbh wnitc + Öffbubhswdntd <="7 aa 4"= aa 8"7 aa 3"7 aa



JLY" Bk" ZY!94!8!YN ZY!94!>!YN ZY!94!<=!YN ZY!>7!4!YN

Idsnhb 94·lbh`di + 8 aa 94·lbh`di + > aa 94·lbh`di + <= aa >7·lbh`di + 4 aa

ZYLBIL]I

Kpdbnbh wnitc + Öffbubhswdntd 4"7 aa 6"7 aa 8"7 aa 9"4 aa



lidkr® Wdrbdjzoy Lbdurysa J`np Zystda <7



JLY" Bk" ZY!>7!3!YN ZY!>7!<7!YN ZY!J!8!YN ZY!J!>!YN

Idsnhb >7·lbh`di + 3 aa >7·lbh`di + <7 aa jurvdi + 8 aa jurvdi + > aa

ZYLBIL]I




JLY" Bk" ZY!J!<<!YN ZY!J!<4!YN ZY!JJ!8!YN ZY!JJ!>!YN

Idsnhb jurvdi + << aa jurvdi + <4 aa strkbh`y jurvdi + 8 aa strkbh`y jurvdi + > aa

ZYLBIL]I

Kpdbnbh wnitc + Öffbubhswdntd 8"4 aa 3"8 aa 6"7 aa 6"< aa



JLY" Bk" ZY!JJ!<<!YN ZY!JJ!<4!YN ZY!ZJ!>!YN ZY!ZL!>!YN

Idsnhb strkbh`y jurvdi + << aa strkbh`y jurvdi + <4 aa snidwlris jurvdi + > aa 94· snidwlris lbh`di + > aa

ZYLBIL]I




lidkr® Wdrbdjzoy Lbdurysa J`np Zystda <<



JLY" Bk" ZY!M^!8!YN ZY!M^!>!YN ZY!M^!<=!YN ZY!M^!<4!YN

Idsnhb mlykbdt + 8 aa mlykbdt + > aa mlykbdt + <= aa mlykbdt + <4 aa

ZYLBIL]I

Kpdbnbh wnitc + Öffbubhswdntd 8"> aa 3"8 aa <7": aa <="7 aa



JLY" Bk" ZY!F!7!=7!:!YN ZY!F!7!=7!6!YN ZY!F!7!=7!>!YN ZY!F!7!=7!<=!YN

Idsnhb strlnhct + Ó ="7 aa wnbikw + : aa strlnhct + Ó ="7 aa wnbikw + 6 aa strlnhct + Ó ="7 aa wnbikw + > aa strlnhct + Ó ="7 aa wnbikw + <= aa

ZYLBIL]I

Kpdbnbh wnitc + Öffbubhswdntd 6"9 aa 8"9 aa 3"9 aa >"6 aa



stlbilri #mud + m`lu. <5<

JLY" Bk" ZY!F!7!:4!:!YN ZY!F!7!:4!6!YN ZY!F!7!:4!<=!YN ZY!F!7!:4!<4!YN

Idsnhb strlnhct + Ó :"4 aa wnbikw + : aa strlnhct + Ó :"4 aa wnbikw + 6 aa strlnhct + Ó :"4 aa wnbikw + <= aa strlnhct + Ó :"4 aa wnbikw + <4 aa

ZYLBIL]I

Kpdbnbh wnitc + Öffbubhswdntd 6"9 aa 8"9 aa 3"9 aa >"6 aa



lidkr® Wdrbdjzoy Lbdurysa J`np Zystda <=



JLY" Bk" ZY!F!7!47!:!YN ZY!F!7!47!6!YN ZY!F!7!47!>!YN ZY!F!7!47!<=!YN

Idsnhb strlnhct + Ó 4"7 aa wnbikw + : aa strlnhct + Ó 4"7 aa wnbikw + 6 aa strlnhct + Ó 4"7 aa wnbikw + > aa strlnhct + Ó 4"7 aa wnbikw + <= aa

ZYLBIL]I

Kpdbnbh wnitc + Öffbubhswdntd 6"8 aa 8"> aa >"< aa <7": aa



JLY" Bk" ZY!F!94!=7!:!YN ZY!F!94!=7!6!YN ZY!F!94!=7!>!YN ZY!F!94!=7!<=!YN

Idsnhb 94·+ Ó ="7 aa wnbikw + : aa 94·+ Ó ="7 aa wnbikw + 6 aa 94·+ Ó ="7 aa wnbikw + > aa 94·+ Ó ="7 aa wnbikw + <= aa

ZYLBIL]I

Kpdbnbh wnitc + Öffbubhswdntd :"3 aa 9"= aa 6"7 aa 8"7 aa



JLY" Bk" ZY!F!94!:4!:!YN ZY!F!94!:4!6!YN ZY!F!94!:4!>!YN ZY!F!94!:4!<=!YN

Idsnhb 94·+ Ó :"4 aa wnbikw + : aa 94·+ Ó :"4 aa wnbikw + 6 aa 94·+ Ó :"4 aa wnbikw + > aa 94·+ Ó :"4 aa wnbikw + <= aa

ZYLBIL]I

Kpdbnbh wnitc + Öffbubhswdntd 9"7 aa 4"3 aa 6"4 aa 8"= aa



lidkr® Wdrbdjzoy Lbdurysa J`np Zystda <:



JLY" Bk" ZY!F!>7!47!4!YN ZY!F!>7!47!8!YN

Idsnhb >7·+ Ó 4"7 aa wnbikw + 4 aa >7·+ Ó 4"7 aa wnbikw + 8 aa

ZYLBIL]I

Kpdbnbh wnitc + Öffbubhswdntd 4"7 aa 4"7 aa

Elw prkfn`d + Alu` sdrrltdi + hdzlcbt sdrrltdi + hdzlcbt

J`ksnbh prdssurd + Zjc`ndssorlft <37 h + <"88 B <37 h + <"88 B

JLY" Bk" ZY!F!>7!=7!4!YN ZY!F!>7!=7!8!YN ZY!F!>7!:4!4!YN ZY!F!>7!:4!8!YN

Idsnhb >7·+ Ó ="7 aa wnbikw + 4 aa >7·+ Ó ="7 aa wnbikw + 8 aa >7·+ Ó :"4 aa wnbikw + 4 aa >7·+ Ó :"4 aa wnbikw + 8 aa

ZYLBIL]I




stlbilri #m`ud + m`lu. <5<

JLY" Bk" ZY!F!94!47!:!YN ZY!F!94!47!6!YN ZY!F!94!47!>!YN ZY!F!94!47!<=!YN

Idsnhb 94·+ Ó 4"7 aa wnbikw + : aa 94·+ Ó 4"7 aa wnbikw + 6 aa 94·+ Ó 4"7 aa wnbikw + > aa 94·+ Ó 4"7 aa wnbikw + <= aa

ZYLBIL]I

Kpdbnbh wnitc + Öffbubhswdntd 4"9 aa 6"4 aa 8"= aa 8"3 aa







ADAK]^ W@TZYA

Lbdurysa J`np Nbstruadbts

ADAK]^ W@TZYA

lidkr nbtrkiujds ADAK]^W@TZYA" L rdspkbsd tk justkadr rdqudsts fkr

lb nbinvniul``y lieustlm`d j`np lpp`ndr wntc anbnal` vnsul` kmstrujtnkb, utn!

`nznbh stltd!kf!tcd!lrt rlw altdrnl`s lbi albufljturnbh tdjcbk`khnds" Ycd

s`na prkfn`d ADAK]^W@TZYA sclft kf tcd nbstruadbt jlb md mdbi nbtk

lby idsnrdi sclpd lbi lbh`d, tcdrdmy fljn`ntltnbh tcd kpdrltnvd ljjdss, vn!

snkb lbi clbi`nbh kf tcd nbstruadbt ntsd`f" Dspdjnl``y tcd j`ksnbh kf tcd

lbdurysa j`np, l tlso wcnjc l`wlys idalbis utakst jkbjdbtrltnkb my

tcd surhdkb, ns alid dlsndr iud tk tcd naprkvdi clbi`nbh"

Iurnbh rdprkjdssnbh, tcd ADAK]^W@TZYA nbstruadbts lutkaltnjl``y rd!

hlnb tcdnr krnhnbl` sclpd" Bk liintnkbl` stdps lrd rdqunrdi" Ycd surhdkb

l`wlys jkaadbjds tcd kpdrltnkb wntc tcd nbstruadbts nb nts krnhnbl` jkb!

intnkb"

ADAK]^ W@TZ YA

Ant idr Dnbfðcrubh ids ADAK]^ W@TZ YA Altdrnl`s l`s Zjclft!Xdrostkff

fðr J`np Lb`dhdnbstruadbtd fk`ht lidkr nb sdnbdr Wrkiuotdbtwnjo`ubh okb!

sdqudbt ida Oubidbwubsjc bljc dnbda nbinvnud`` dnbstd``mlrdb J`np!Nb!

struadbt ant anbnal`dr vnsud``dr Dnbsjcréboubh" Idr sjc`lbod

ADAK]^ W@TZ YA !]kcrsjclft ids Nbstruadbts `ésst snjc md`ndmnh nb edid

hdwðbsjctd ]njctubh vdrfkradb, wkiurjc idr kpdrltnvd Uuhlbh, ind

Znjct ubi ind Clbiclmubh ids Nbstruadbts wdsdbt`njc vdrmdssdrt wdridb

okbbtd" Nbsmdskbidrd ils Zjc`ndÛdb ids J`np ubtdr cöjcstdr Okbzdbtrl!

tnkb nst iurjc ind dbtsplbbtdrd Clbiclmubh wdsdbt`njc dr`dnjctdrt"

Mdn idr Lufmdrdntubh ids Lb`dhd! ubi Dbtblcadnbstruadbts fkrat snjc

idr ]kcrsjclft sd`msttétnh nb sdnbd Lushlbhsfkra zurðjo" Uusétz`njcd Lr!

mdntssjcrnttd snbi bnjct drfkridr`njc"




JLY" Bk" :34<=YZL!<

Tslhd + Vdrwdbiubh Anbn J`np Lpp`ndr wntc f`dxnm`d adakry altdrnl` sclft + Anbn J`np Lb`dhdzlbhd ant f`dxnm`da Zjclft lus Adakry Altdrnl`

@dbhtc + @ébhd =97 aa

Xkronbh @dbhtc + Lrmdnts`ébhd <:7 aa

Elw Wrkfn`d + Alu` f`dxnm`d adakry altdrnl` wntc rltjcdt + f`dxnmd` Adakry Altdrnl` ant Zpdrrd

anjrk + anbn

JLY" Bk" :34<=AL!YN

Tslhd + Vdrwdbiubh Anjrk lbi Anbn J`np Lpp`ndr mlykbdt wntc rltjcdt + Anork ubi Anbn J`np Lb`dhdzlbhd Mlekbdtt ant Zpdrrd

@dbhtc + @ébhd ==7 aa

Xkronbh @dbhtc + Lrmdnts`ébhd <77 aa

Elw Wrkfn`d + Alu` 8·lbh`di + 8· lmhdwnbod`t

JLY" Bk" :34<6AN!YN

Tslhd + Vdrwdbiubh Anjrk lbi Anbn J`np ]dakvdr mlykbdt wntckut rltjcdt + Anork ubi Anbn J`np Dbtblcadzlbhd Mlekbdtt kcbd Zpdrrd



Elw Wrkfn`d + Alu` inlakbi jkltdi + inlalbtmdsjcnjctdt

ADAK]^ W@TZYA



JLY" Bk" :34<<YZL!<

Tslhd + Vdrwdbiubh Ztlbilri J`np Lpp`ndr wntc f`dxnm`d adakry altdrnl` sclft + Ztlbilri J`np Lb`dhdzlbhd ant f`dxnm`da Zjclft lus Adakry Altdrnl`

@dbhtc + @ébhd =97 aa

Xkronbh @dbhtc + Lrmdnts`ébhd <:7 aa

Elw Wrkfn`d + Alu` f`dxnm`d adakry altdrnl` wntc rltjcdt + f`dxnmd` Adakry Altdrnl` ant Zpdrrd

JLY" Bk" :34<4AN!YN!IH

Tslhd + Vdrwdbiubh Ztlbilri J`np ]dakvdr mlykbdt wntckut rltjcdt + Ztlbilri J`np Dbtblcadzlbhd Mlekbdtt kcbd Zpdrrd



Elw Wrkfn`d + Alu` inlakbi jkltdi + inlalbtmdsjcnjctdt

JLY" Bk" :34<<AL!YN!IH

Tslhd + Vdrwdbiubh Ztlbilri J`np Lpp`ndr mlykbdt wntc rltjcdt + Ztlbilri J`np Lb`dhdzlbhd Mlekbdtt ant Zpdrrd



Elw Wrkfn`d + Alu` 8·lbh`di + 8· lmhdwnbodt

stlbilri


ADAK]^ W@TZYA



lidkr® Wdrbdjzoy Lbdurysa J`np Zystda <>

JLY" Bk" ZY4

Idsjrnptnkb + Mdsjcrdnmubh J`np trly jkap`dtd + @lhdrubhshdstd`` okap`dtt

ZY4

Adlsurdadbts + Lmadssubhdb =<7 x <=4 x <8

Jlpljnty + Olplzntét 9=

Altdrnl` + Ztdrn`nzltnkb Ztlnb`dss stdd` + Did`stlc ` + up tk : mlr + <9:·J + =3>·F

JLY" Bk" ZY9

Idsjrnptnkb + Mdsjcrdnmubh J`np trly jkap`dtd + @lhdrubhshdstd`` okap`dtt

ZY9

Adlsurdadbts + Lmadssubhdb <47 x >4 x <: aa

Jlpljnty + Olplzntét <3

Altdrnl` + Ztdrn`nzltnkb Ztlnb`dss stdd` + Did`stlc` + up tk : mlr + <9:·J + =3>·F

stkrlhd



lidkr rdsdrvds tcd rnhct kf

tdjcbnjl` jclbhds"

DB NZK <:9345=77:

CDLI\TL]YD]Z

lidkr Adinjl` Ydjcbk`khnds HamC

Onrjcp`ltz <

I!3=79> Wu``ljc

Hdralby

Wckbd /9> #7. 3> 89 99 =: >3

Flx /9> #7. 3> 89 9= 93 7>

dAln` kffnjdGlidkr jka

KDA YDJCBK@KH^

Indtdr vkb Udppd`nb, Inp`"!Nbh"

Onrjcp`ltz <

I!3=79> Wu``ljc

Hdralby

Wckbd /9> #7. 3> 89 99 =: >3

Flx /9> #7. 3> 89 9= 93 7>

dAln` kdaGlidkr jka

adeor aneurysm clip

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