[The microsurgical treatment of large and giant aneurysms of the internal carotid artery located parasphenoidally].
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.
Eliava
Sh Sh
ShSh
Filatov
Iu M
IuM
Sazonova
O B
OB
Lubnin
A Iu
AIu
Rudnev
I N
IN
Kheĭreddin
A S
AS
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
Mikrokhirurgicheskoe lechenie bol'shikh i gigantskikh anevrizm vnutrenneĭ sonnoĭ arterii paraklinovidnoĭ lokalizatsii.