title: [Results of surgical treatment of 35 giant aneurysms].
abstract: Results of surgical treatment of 35 giant aneurysms. Over the last 4 years (1988-1991) 35 large aneurysms were operated on in the Department of Neurosurgery Medical Academy in Gdańsk. This material is divided in two groups: to group I belong these aneurysms of diameter 2 to 2.5 cm and to group II those above the diameter of 2.5 cm. Surgery in group I was always performed by means of direct attack, while in group II sometimes STA-MTA by-pass, combined with carotid ligation was applied. The by-pass procedure is particularly advocated in the aneurysms of the infraclinoid portion of ICA and those originating from the junction of the ophthalmic and ICA (carotid-ophthalmic). With the progress of operative technique and routine application of temporary clipping of the vessels adjacent to and supplying the aneurysm, the number of by-pass operations has been limited to those of the infraclinoid portion of ICA only. Only in 1 case the result was unfavourable, in 2 cases it was fair and in 2 other cases it was excellent.
authors.affiliation: Kliniki Neurochirurgii AM, Gdańsku.
authors.forename: P
authors.initials: P
authors.lastname: Słoniewski
authors.forename: M
authors.initials: M
authors.lastname: Stempniewicz
authors.forename: B
authors.initials: B
authors.lastname: Imieliński
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D002340:Carotid Artery Diseases / Q000473:pathology / Q000601:surgery*; D002343:Carotid Artery, Internal / Q000473:pathology / Q000601:surgery; D002536:Cerebral Arteries / Q000473:pathology / Q000601:surgery*; D003250:Constriction; D006801:Humans; D002532:Intracranial Aneurysm / Q000473:pathology / Q000601:surgery*; D008026:Ligation; D008866:Microsurgery / Q000379:methods; D008875:Middle Aged; D014656:Vascular Surgical Procedures / Q000379:methods*
vernacular_title: Wyniki leczenia operacyjnego 35 tetniaków olbrzymich.