Temporary balloon occlusion during the surgical treatment of giant paraclinoid and vertebrobasilar aneurysms.
OBJECTIVE
We propose the combined neurosurgical-endovascular treatment with the balloon occlusion of parent artery during surgery of giant paraclinoid and vertebrobasilar aneurysms, which are unsuitable for a pure endovascular or surgical approach.


METHODS
Between January 2003 and December 2007, we treated surgically 15 giant aneurysms (11 paraclinoid and four vertebrobasilar) with the combined approach of surgery and endovascular intraoperative technique.


RESULTS
Complete aneurysm occlusion was achieved in all 15 aneurysms, as confirmed by intraoperative angiographic control. In one paraclinoid aneurysm, a small recurrence became evident 1 year after surgery and needed coil embolisation.


CONCLUSIONS
The temporary balloon occlusion technique is useful and improves the safety of the unavoidable exposure of the parent artery in the surgical treatment of giant paraclinoid and vertebrobasilar aneurysms.
Skrap
Miran
M
Department of Neurosurgery, Udine University Hospital, 33100 Udine, Italy.
Petralia
Benedetto
B
Toniato
Giovanni
G
D000328:Adult; D000368:Aged; D001488:Basilar Artery / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D020215:Carotid Artery, Internal, Dissection / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D002404:Catheterization / Q000295:instrumentation / Q000379:methods*; D002533:Cerebral Angiography; D003287:Contrast Media; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D007431:Intraoperative Complications / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative / Q000295:instrumentation / Q000379:methods; D013525:Surgical Instruments / Q000592:standards; D014656:Vascular Surgical Procedures / Q000295:instrumentation / Q000379:methods*; D014711:Vertebral Artery / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D020217:Vertebral Artery Dissection / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery
D003287:Contrast Media