Open surgery of giant paraclinoid aneurysms improved by intraoperative angiography and endovascular retrograde suction decompression

Acta neurochirurgica
R FahlbuschW Huk

Abstract

In three consecutive cases of giant left sided paraclinoid aneurysms we employed an endovascular retrograde suction decompression technique in combination with intra-operative angiography. A double-lumen balloon catheter was placed in the left internal carotid artery by the transfemoral route. After balloon inflation and placement of a temporary clip distal to the aneurysm blood was aspirated and the aneurysm collapsed. Thus further dissection of the aneurysm could easily be achieved and clips could be placed. Afterwards real-time digital subtraction angiography was performed. Intra-operative angiography led to clip repositioning in all cases either due to a clip induced stenosis of the parent vessel, or because of incomplete aneurysm obliteration. Afterwards successful clipping could be confirmed in all cases. Outcome was excellent in one case, good in the other. The third case, extremely complicated by an accompanying craniopharyngioma, showed a satisfactory outcome, but presented new neurological deficits.

References

Mar 1, 1975·Lancet·B Jennett, M Bond
Dec 1, 1979·Journal of Neurosurgery·Y Hosobuchi
Jul 1, 1990·Surgical Neurology·J I AusmanC E Deopujari
Aug 1, 1990·Journal of Neurosurgery·H H Batjer, D S Samson
Dec 1, 1984·Journal of Neurosurgery·L Symon, J Vajda
Feb 1, 1981·Journal of Neurosurgery·E S Flamm
Apr 1, 1995·Neurosurgery·D TampieriD Melançon
Nov 1, 1994·Journal of Neurosurgery·C G DrakeG G Ferguson
Apr 1, 1994·Journal of Neurosurgery·H H BatjerD S Samson
Jan 1, 1996·Journal of Neurosurgery·G SinsonE S Flamm
Mar 1, 1996·Neurosurgery·A BouthillierJ T Keller
Nov 1, 1996·Neurosurgery·C L TaylorR A Ratcheson
Dec 1, 1996·Neurosurgery·J H GurianG R Duckwiler
Mar 1, 1984·Immunology Today

❮ Previous
Next ❯

Citations

Jun 28, 2008·Current Treatment Options in Cardiovascular Medicine·Bradley A GrossBernard R Bendok
Nov 3, 2012·Neurosurgical Focus·Judith M WongAtul A Gawande
Dec 4, 2010·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Vijayakumar JavalkarAnil Nanda
Dec 17, 2009·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Bhawani S SharmaV S Mehta
Nov 26, 2009·Neurosurgery·Mohamed Samy ElhammadyMohammad Ali Aziz-Sultan
Nov 30, 1998·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·T NakazawaJ Handa

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.