A case report of retrograde suction decompression of a large paraclinoid aneurysm
| Autor: | Yoko Kato, Yashuhiro Yamada, Ahmed Mohamed Khalil, Ahmed Ansari, Katsumi Takizawa |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Suction (medicine)
medicine.medical_specialty retrograde suction decompression (RSD) Decompression business.industry Paraclinoid aneurysm Aneurysm neck General Medicine Dissection (medical) medicine.disease Neurovascular bundle paraclinoidal lcsh:RC346-429 Superior thyroid artery Aneurysm medicine.artery cardiovascular system medicine cardiovascular diseases Radiology proximal aneurysm control business lcsh:Neurology. Diseases of the nervous system |
| Zdroj: | Romanian Neurosurgery, Vol 33, Iss 3 (2019) |
| ISSN: | 2344-4959 1220-8841 |
| DOI: | 10.33962/roneuro-2019-054 |
| Popis: | Surgical clipping of large Paraclinoidal IC (Internal carotid) aneurysm pose a great challenge as there are adhesions hindering exposure of aneurysm dome and parent artery . Obtaining adequate visualization of the aneurysm neck is very difficult in these aneurysms, also in the access of proximal control. There are many methods to obtain a proximal control in these aneurysms. Retrograde suction decompression provides adequate visualization of the aneurysm neck and its relation with the optic apparatus. Retrograde suction decompression can be done by many methods. The technique done via open catheterization of superior thyroid artery is readily accessible and provides adequate relaxation of the aneurysm dome enabling complete dissection of the aneurysm from the surrounding important neurovascular structures. In this report of a case of left Paraclinoidal ICA aneurysm which was clipped applying this method, we elaborate on the technique and discuss other methods available for proximal control in these difficult aneurysms. |
| Databáze: | OpenAIRE |
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