title: [The microsurgical treatment of large and giant aneurysms of the internal carotid artery located parasphenoidally].
abstract: Internal carotid aneurysms in the ophthalmic area presents a challenge in cerebrovascular neurosurgery. The study was undertaken to provide evidence for the application of intravascular aspiration during direct surgical interventions and to outline their variants used at the N. N. Burdenko Institute of Neurosurgery. The study included 4 (3 females and 1 male) patients with large and giant internal carotid aneurysms of parasphenoidal site who were treated at the Institute. Clipping of the aneurysmal neck was made by employing intravascular blood aspiration from the aneurysm. The technique proved to be effective in proximal monitoring the carotid artery at surgery. It substantially reduced aneurysmal blood flow and wall tension, thus favouring aneurysmal dissection to make clipping.
authors.forename: Sh Sh
authors.initials: ShSh
authors.lastname: Eliava
authors.forename: Iu M
authors.initials: IuM
authors.lastname: Filatov
authors.forename: O B
authors.initials: OB
authors.lastname: Sazonova
authors.forename: A Iu
authors.initials: AIu
authors.lastname: Lubnin
authors.forename: I N
authors.initials: IN
authors.lastname: Rudnev
authors.forename: A S
authors.initials: AS
authors.lastname: Kheĭreddin
mesh_terms: D000328:Adult; D000783:Aneurysm / Q000175:diagnosis / Q000601:surgery*; D002340:Carotid Artery Diseases / Q000175:diagnosis / Q000601:surgery*; D002343:Carotid Artery, Internal / Q000601:surgery; D003250:Constriction; D005260:Female; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D013100:Sphenoid Bone; D013396:Suction / Q000379:methods
vernacular_title: Mikrokhirurgicheskoe lechenie bol'shikh i gigantskikh anevrizm vnutrenneĭ sonnoĭ arterii paraklinovidnoĭ lokalizatsii.