Trapping of giant basilar trunk aneurysms. Report of two cases.
Two cases of successful trapping of giant basilar trunk aneurysms are presented. The aneurysms were trapped by clipping the basilar artery distal to the anterior inferior cerebellar arteries and proximal to the superior cerebellar arteries. The outcome was excellent in both cases. In the treatment of giant basilar trunk aneurysms, trapping the involved segment of the basilar artery is an effective way to obliterate and decompress the aneurysm. Preoperative assessment of potential collateral vascular supply, operative technique, and the efficacy of intraoperative monitoring are discussed.
Kashiwagi
S
S
Department of Neurosurgery, University of Cincinnati College of Medicine, Good Samaritan Hospital, Ohio.
Tew
J M
JM
van Loveren
H R
HR
Thomas
G
G
D000328:Adult; D001488:Basilar Artery; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000601:surgery*; D008297:Male; D008722:Methods