PACKING WITH MUSCLE OF INTERNAL CAROTID ARTERY FOR ANEURYSM WITH IMMEDIATE OCCLUSION AND SUBSEQUENT ESTABLISHMENT OF FLOW
| Autor: | H. D. Portnoy, E S Gurdjian, D R Simmons |
|---|---|
| Rok vydání: | 1963 |
| Předmět: |
Hemostasis
business.industry Carotid arteries Muscles Neurosurgery Collateral Circulation Intracranial Aneurysm medicine.disease Surgical Instruments Aneurysm Cerebrovascular Circulation Neurosurgical Procedures Cerebral Angiography medicine.artery Occlusion medicine Humans Neurologic sequelae Internal carotid artery Nuclear medicine business Vascular Surgical Procedures Carotid Artery Internal |
| Zdroj: | Journal of neurosurgery. 20 |
| ISSN: | 0022-3085 |
| Popis: | Occasionally, while opera t ing on in t r ac ran ia l aneurysm, the aneurysma l sac m a y be t o rn inadve r t en t ly f rom the p a r e n t vessel. I f t he pa ren t vessel m u s t be cl ipped to cont ro l the r e su l t an t hemorrhage , grave neurologic sequelae resul t frequent ly . Obviously i t is mos t desirable to control the hemor rhage wi thou t sacrificing the involved ar tery . The prob lem is p robab ly mos t severe in cases involving aneurysms of the in te rna l carot id ar tery . Recent ly , the au thors were faced wi th such a s i tua t ion involv ing a n aneu rysm of the in te rna l carot id ar tery . We were able to control bleeding successfully by packing muscle be tween the to rn a r t e ry and the under ly ing sphenoid bone. Pos t opera t ive ang iography revealed a marked ly dimin ished flow of blood pas t the poin t of opera t ive in te rvent ion . Subsequen t repea ted angiography, however, revealed progressive re-opening of the vessel. |
| Databáze: | OpenAIRE |
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