| Suction decompression methods for giant internal carotid ophthalmic aneurysms by using revised double lumen balloon catheters. | |
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MedLine Citation:
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PMID: 18496938 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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T Takahashi; N Suzaki; S Tsugane; K Yamauchi; S Takada |
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Publication Detail:
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Type: Clinical Trial; Journal Article |
Journal Detail:
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Title: Acta neurochirurgica. Supplement Volume: 103 ISSN: 0065-1419 ISO Abbreviation: Acta Neurochir. Suppl. Publication Date: 2008 |
Date Detail:
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Created Date: 2008-05-23 Completed Date: 2008-07-10 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100962752 Medline TA: Acta Neurochir Suppl Country: Austria |
Other Details:
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Languages: eng Pagination: 9-10 Citation Subset: IM |
Affiliation:
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Nagoya Medical Center, Department of Neurosurgery, National Hospital Organization, Nagoya, Japan. ttatsuo@md.ccnw.ne.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aneurysm
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pathology*,
therapy* Cerebral Angiography / methods Decompression, Surgical / methods* Humans Ophthalmic Artery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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