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Neck Clipping of Giant Aneurysm in ICA Using Intra-Operative Temporary Balloon Occlusion and Suction Decompression Technique -A Case Report-

Other Title
술중 풍선 확장을 이용한 일시적 근위부 결찰과 흡입, 감압술을 실시한 내경동맥의 거대동맥류 결찰
Authors
원, 근수; 신, 용삼; 박, 한준; 이, 성운; 윤, 수한; 조, 기홍; 조, 경기
Citation
Taehan Sinkyŏng Oekwa Hakhoe chi, 30(suppl.1):S165-S169, 2001
Journal Title
Taehan Sinkyŏng Oekwa Hakhoe chi; Journal of Korean Neurosurgical Society; 대한신경외과학회지
ISSN
1225-8245
Abstract
A patient, 51 years old woman, had suffered form headache and decrease of visual acuity. She had 3×3cm sized giant aneurysm originated in cavernous and clinoid portion of left ICA(C4,C5) in the cerebral angiography. Before craniotomy, left CCA was exposed and 6F double lumen catheter was inserted in left ICA through the sheath. Pre-operative angiography was done. balloon catheter was positioned at the petrous portion of ICA. Eyebrow approach was done and giant aneurysm was exposed. The proximal blood flow was controlled with balloon dilatation and suction and decompression was tried, then multiple clips were applied. The loss of distal blood flow under intra-operative angiography was notified after clipping. The position of clips were repositioned to preserve blood flow & the rich flow was confirmed at distal part of clipping. In the post-operative cerebral angiography, the same finding was shown.
Keywords
Giant aneurysmIntra-operative angiographyDirect neck clipping
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Neurosurgery
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