title: Retrograde suction decompression assisted clipping of large and giant cerebral aneurysms: our experience.
abstract: OBJECTIVE
  The aim of this study was to present our experience with retrograde suction decompression in clipping of large and giant cerebral aneurysms and analyze its advantages and pitfalls.
  
  
  METHODS
  A retrospective analysis of 27 patients with large and giant intracranial aneurysms treated by suction decompression assisted clipping between November 2005 and February 2010 was done. The surgical technique and the outcome of patients were reviewed.
  
  
  RESULTS
  All aneurysms were successfully clipped, and postoperative 3-D CTA or DSA revealed no major branch occlusion or residual aneurysm. There was no surgical mortality in both giant and large aneurysm groups.
  
  
  CONCLUSIONS
  Retrograde suction decompression is a successful adjunct to clipping of large and giant cerebral aneurysms.
authors.affiliation: Department of Neurosurgery, The First Affiliated Hospital of Xiamen University, Xiamen, PR China.
authors.forename: S F
authors.initials: SF
authors.lastname: Chen
authors.forename: Y
authors.initials: Y
authors.lastname: Kato
authors.forename: B
authors.initials: B
authors.lastname: Subramanian
authors.forename: A
authors.initials: A
authors.lastname: Kumar
authors.forename: T
authors.initials: T
authors.lastname: Watabe
authors.forename: S
authors.initials: S
authors.lastname: Imizu
authors.forename: J
authors.initials: J
authors.lastname: Oda
authors.forename: D
authors.initials: D
authors.lastname: Oguri
authors.forename: H
authors.initials: H
authors.lastname: Sano
mesh_terms: D000328:Adult; D000368:Aged; D019299:Decompression, Surgical / Q000295:instrumentation / Q000379:methods* / Q000401:mortality; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000295:instrumentation / Q000379:methods* / Q000401:mortality; D011859:Radiography; D012189:Retrospective Studies; D013396:Suction / Q000295:instrumentation / Q000379:methods / Q000401:mortality; D013525:Surgical Instruments / Q000592:standards / Q000706:statistics & numerical data*; D014656:Vascular Surgical Procedures / Q000295:instrumentation / Q000379:methods* / Q000401:mortality