Balloon test occlusion with hypotensive challenge for main trunk occlusion of internal carotid artery aneurysms and pseudoaneurysms

British Journal of Neurosurgery
George K C WongSimon Chun Ho Yu

Abstract

Balloon test occlusion of carotid artery is a useful procedure in managing patients with internal carotid aneurysms and psuedoaneurysms. Previous studies using intravenous sodium nitroprusside for hypotensive challenge yielded false-negative results for haemodynamic ischaemia, highlighting the difference between pharmacological and compensatory vasodilatory responses. We reviewed our management result of a combined approach of clinical assessment and angiographic assessment of venous drainage using intravenous labetalol for hypotensive challenge. A retrospective review of all balloon test occlusions carried in a single neurosurgical institute between August 1996 and August 2009 was carried out. Patients with internal carotid artery aneurysms and pseudoaneurysms were reviewed accordingly. The diagnosis at the time of treatment included radiotherapy-induced internal carotid artery pseudoaneurysms in nasopharyngeal carcinoma patients (11/23, 48%), cavernous internal carotid artery giant aneurysm (6/23, 26%) and ophthalmic segment internal carotid artery giant aneurysm (4/23, 17%). Nineteen (79%) patients passed the balloon test occlusion. In the cohort of patients that passed balloon test occlusion and underwent main trunk occlusi...Continue Reading

References

Aug 1, 1974·Journal of Neurosurgery·F A Serbinenko
Mar 9, 2005·International Journal of Radiation Oncology, Biology, Physics·Anne W M LeeW H Lau
Jul 2, 2005·Neurosurgery Clinics of North America·Michele H JohnsonDouglas A Ross
Mar 29, 2007·ANZ Journal of Surgery·George K C WongWai S Poon
Oct 1, 2008·Neurosurgery·Angelika SortebergWilhelm Sorteberg

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Citations

Apr 2, 2013·World Neurosurgery·Jon Berg-JohnsenIver A Langmoen
Feb 3, 2012·European Journal of Radiology·George Kwok Chu Wong, Wai Sang Poon
May 24, 2011·World Neurosurgery·Justin F Fraser, Philip E Stieg
May 24, 2014·Journal of Neurointerventional Surgery·Anderson Chun-On TsangGilberto Ka-Kit Leung
Aug 29, 2006·Neurologic Clinics·Sepideh Amin-Hanjani, Fady T Charbel
Sep 16, 2008·Neurosurgery Clinics of North America·Sepideh Amin-Hanjani, Fady T Charbel
Sep 26, 2009·Neurosurgery Clinics of North America·N ChaudharyA S Pandey
Mar 16, 2017·Neurology India·Pouya NazariManish K Kasliwal
Aug 7, 2021·Journal of Neurointerventional Surgery·Philippe DodierGerhard Bavinzski
Oct 9, 2021·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Liang ZengJing Ye

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