Document Detail

Suction decompression methods for giant internal carotid ophthalmic aneurysms by using revised double lumen balloon catheters.
MedLine Citation:
PMID:  18496938     Owner:  NLM     Status:  MEDLINE    
In giant, large internal carotid ophthalmic artery aneurysms, revised double lumen balloon catheters introduced directly into the cervical carotid arteries were used successfully to perform suction decompression methods. No general heparinization was used during these maneuvers except for continuous intraluminal irrigation of heparin contained saline. Intraoperative multi-directional portable DSA ascertained complete neck clippings and patency of parent vessels. These methods were tried for 8 cases of large, giant IC ophthalmic aneurysms. Among these 5 patients who complained of incomplete visual failures, visual acuity improved in 3 cases. Postoperative transient hemiparesis were seen in two cases which had partially thrombosed, calcified giant aneurysm and the other was due to prolonged proximal ICA occlusion at its cavernous portion. Neither dead nor severely disabled cases were seen, fortunately. Delayed postoperative conventional angiography disclosed complete neck clippings sparing parent arteries except for only one case. This revised direct carotid puncture method is simple and acceptable because of minimal morbidity.
T Takahashi; N Suzaki; S Tsugane; K Yamauchi; S Takada
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Acta neurochirurgica. Supplement     Volume:  103     ISSN:  0065-1419     ISO Abbreviation:  Acta Neurochir. Suppl.     Publication Date:  2008  
Date Detail:
Created Date:  2008-05-23     Completed Date:  2008-07-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100962752     Medline TA:  Acta Neurochir Suppl     Country:  Austria    
Other Details:
Languages:  eng     Pagination:  9-10     Citation Subset:  IM    
Nagoya Medical Center, Department of Neurosurgery, National Hospital Organization, Nagoya, Japan.
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MeSH Terms
Aneurysm / pathology*,  therapy*
Cerebral Angiography / methods
Decompression, Surgical / methods*
Ophthalmic Artery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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