title: Tasuki clipping combined with high flow bypass for ruptured, previously coiled, partially thrombosed giant aneurysm at the carotid bifurcation.
abstract: A 33-year-old woman presented with a ruptured, partially thrombosed carotid bifurcation aneurysm after partial coiling, which was successfully treated by "tasuki" (a cloth sash crossing from one shoulder to the opposite hip, worn by relay marathon runners) clipping combined with radial artery and external carotid artery-to-middle cerebral artery bypass. "Tasuki" clipping can overcome the dilemma between achieving early complete thrombosis in the blind sac and maintaining anterograde flow of the parent artery to prevent inadvertent occlusion of the perforators and anterior choroidal artery.
authors.affiliation: Department of Neurosurgery, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan. kiihara@hsp.ncvc.go.jp
authors.forename: Koji
authors.initials: K
authors.lastname: Iihara
authors.forename: Daisuke
authors.initials: D
authors.lastname: Maruyama
authors.forename: Kenji
authors.initials: K
authors.lastname: Fukuda
authors.forename: Norio
authors.initials: N
authors.lastname: Nakajima
authors.forename: Hiroharu
authors.initials: H
authors.lastname: Kataoka
mesh_terms: D000328:Adult; D002340:Carotid Artery Diseases / Q000473:pathology / Q000628:therapy*; D002548:Cerebral Revascularization; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000473:pathology / Q000628:therapy*; D013927:Thrombosis / Q000473:pathology / Q000628:therapy*