Repeated laser-assisted high-flow bypass for recurrent giant intracranial aneurysm.
The treatment of intracranial aneurysms is changing as endovascular obliteration possibilities and long-term results are being published in regard to outcome. However, not all aneurysms are amenable to direct endovascular or surgical treatment. In such situations, a high flow bypass for flow preservation can be considered as indirect treatment alternative, enabling a trapping of the aneurysm or occlusion of the feeding artery. We present the case history of a 57 year-old patient suffering of a recurrent giant intracranial carotid aneurysm. The aneurysm could be excluded using a new cerebral high-flow bypass technique for which no temporary occlusion of any intracranial vessels is required. This technique reduces the risks of perioperative neurological complications.
Reinert
Michael
M
Department of Neurosurgery, Inselspital Bern, University of Bern, CH-3010 Bern, Switzerland. mmv.reinert@insel.ch
Barth
Alain
A
Schroth
Gerhard
G
Seiler
Rolf W
RW
D002340:Carotid Artery Diseases / Q000601:surgery; D002343:Carotid Artery, Internal; D002533:Cerebral Angiography; D002548:Cerebral Revascularization / Q000379:methods; D006801:Humans; D002532:Intracranial Aneurysm / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D053685:Laser Therapy; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome