title: Temporary balloon occlusion during the surgical treatment of giant paraclinoid and vertebrobasilar aneurysms.
abstract: 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.
authors.affiliation: Department of Neurosurgery, Udine University Hospital, 33100 Udine, Italy.
authors.forename: Miran
authors.initials: M
authors.lastname: Skrap
authors.forename: Benedetto
authors.initials: B
authors.lastname: Petralia
authors.forename: Giovanni
authors.initials: G
authors.lastname: Toniato
mesh_terms: 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
chemical_list: D003287:Contrast Media