[Direct surgical clipping the carotid-ophthalmic aneurysms through a extradural-intradural approach].
OBJECTIVE
To exlore the approach for treating carotid-ophthalmic aneurysms and introduce experience in reducing postoperative complications.


METHODS
We treated 31 patients with carotid-ophthalmic aneurysms, which accounted for 8.3% of all intracranial aneurysms we encountered in 1994 and 1997, by direct surgical clipping.


RESULTS
No operative death occurred and the rate of postoperative complications was 19%. All aneurysms were occluded and later confirmed by angiography.


CONCLUSIONS
The direct clipping of aneurysms involving the carotid-ophthalmic artery is best treated by the extradural-intradural approach.
Zhao
J
J
Department of Neurosurgery, Beijing Tiantan Hospital, CAMS.
Wang
Z
Z
Wang
S
S
D000293:Adolescent; D000328:Adult; D002340:Carotid Artery Diseases / Q000175:diagnosis / Q000601:surgery*; D002343:Carotid Artery, Internal / Q000601:surgery; D002648:Child; D005123:Eye / Q000098:blood supply*; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010243:Paralysis / Q000517:prevention & control; D011183:Postoperative Complications / Q000517:prevention & control*