Document Detail

Intraoperative angiography for hunterian ligation of a recurrent basilar aneurysm.
MedLine Citation:
PMID:  17665344     Owner:  NLM     Status:  MEDLINE    
Cerebral aneurysms often recur after selective endovascular treatment with detachable coils and are usually treated by recoiling. Sometimes, however, surgical treatment is required, and application of the clip can be difficult. Evacuation of embolic material risks injuring eloquent structures or perforators, especially in the posterior circulation. In such cases parent vessel occlusion for reversal of flow might be an option. If collateral flow is adequate, an additional bypass is not required. When using this technique, known as Hunterian ligation, intraoperative monitoring such as electrophysiological monitoring and intraoperative angiography can be of great help and are advisable. We describe this procedure and related intraoperative considerations in one case report.
O Bozinov; L J Kim; R F Spetzler
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't     Date:  2007-07-30
Journal Detail:
Title:  Zentralblatt für Neurochirurgie     Volume:  68     ISSN:  0044-4251     ISO Abbreviation:  Zentralbl. Neurochir.     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-08-31     Completed Date:  2007-10-29     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0413646     Medline TA:  Zentralbl Neurochir     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  151-4; discussion 154     Citation Subset:  IM    
Department of Neurochirurgie, Philipps Universitaet, Marburg, Germany.
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MeSH Terms
Basilar Artery*
Cerebral Angiography*
Intracranial Aneurysm / radiography*,  surgery
Intraoperative Period
Middle Aged
Neurosurgical Procedures*
Stroke / etiology

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