Retrograde suction decompression of giant paraclinoidal aneurysms. Technical note.

Abstract:

:Giant paraclinoidal carotid artery aneurysms frequently require temporary interruption of local circulation to facilitate safe occlusion. Due to brisk retrograde flow through the ophthalmic artery and cavernous branches, simple trapping of the aneurysm by cervical internal carotid artery clamping and intracranial distal clipping may not adequately soften the lesion. The authors describe a retrograde suction method of aspiration of this collateral supply which they have used in over 40 cases. After temporary trapping, a No. 18 angiocatheter is inserted into the cervical internal carotid artery. This catheter is then connected to a wall suction point allowing rapid aneurysm deflation. This technique, accomplished by the surgical assistant, permits the surgeon the freedom to use both hands in dealing quickly with the aneurysm.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Batjer HH,Samson DS

doi

10.3171/jns.1990.73.2.0305

subject

Has Abstract

pub_date

1990-08-01 00:00:00

pages

305-6

issue

2

eissn

0022-3085

issn

1933-0693

journal_volume

73

pub_type

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