Rapid ventricular pacing for a basilar artery pseudoaneurysm in a pediatric patient: case report

Journal of Neurosurgery. Pediatrics
Shahid M NimjeeAli R Zomorodi

Abstract

Large cerebral aneurysms of the basilar apex are difficult to treat. Recently, endovascular treatment has mitigated much of the morbidity associated with treating these lesions. However, the morphology of aneurysms of the vertebrobasilar system can preclude endovascular treatment. Rapid ventricular pacing (RVP) facilitates open surgical treatment of cerebral aneurysms. It can assist in reducing the pressure of the neck of the aneurysm, allowing safe application of a clip. The authors present a case of a pediatric patient who developed a basilar artery pseudoaneurysm that required surgery. Given the large size of the aneurysm, RVP was performed, allowing the surgeons to dissect the dome of the aneurysm from the surrounding tissue and pontine perforating branches away from the lesion to safely clip the lesion. The patient had an uneventful recovery. To the authors' knowledge, this represents the first known case of RVP to aid in basilar artery clip occlusion in a pediatric patient.

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Citations

Nov 12, 2016·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Birgitta RamgrenJohan Wassélius
Dec 15, 2017·Journal of Neurosurgical Anesthesiology·Kiranbharath VenkatesuluNithiyanandhan Palanisamy
Nov 30, 2018·Journal of Neurosurgery. Pediatrics·Aaron HockleyJohn H Wong
May 3, 2018·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Ruiqi ChenLu Ma
Jun 4, 2018·Acta neurochirurgica·Ruiqi ChenChao You

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Methods Mentioned

BETA
dissection
dissect
PCA

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