Large paraclinoid aneurysm with a calcified neck treated by tailored multimodality procedures - Case report

被引：1

作者：

Kikuta, K ^{[1
]}

Miyamoto, S ^{[1
]}

Satow, T ^{[1
]}

Kataoka, H ^{[1
]}

Hashimoto, N ^{[1
]}

机构：

[1] Kyoto Univ, Grad Sch Med, Dept Neurosurg, Sakyo Ku, Kyoto 6068507, Japan

来源：

NEUROLOGIA MEDICO-CHIRURGICA | 2005年 / 45卷 / 04期

关键词：

paraclinoid aneurysm; mass effect; calcification; high-flow bypass; direct clipping; intraoperative embolization;

D O I：

10.2176/nmc.45.196

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

A 68-year-old woman presented with a large paraclinoid aneurysm with a calcified neck causing visual symptoms. Direct clipping was hazardous because of severe calcification of the neck. Endovascular internal trapping was difficult because of the short distance between the neck and the origin of the posterior communicating artery. Proximal occlusion was likely to be less effective because of large collateral back flow to the aneurysm via the ophthalmic artery (OphA). The aneurysm was successfully treated by a combination of a high-flow bypass, intraoperative coil embolization of the parent artery including the origin of the OphA, and clipping of the internal carotid artery distal to the aneurysm. Paraclinoid aneurysms may be difficult to treat by the simple application of direct clipping, endovascular coiling, or trapping. Multimodality procedures can be tailored to treat such aneurysms.

引用

页码：196 / 200

页数：5

共 24 条

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RUPTURE OF A GIANT CAROTID ANEURYSM AFTER EXTRACRANIAL-TO-INTRACRANIAL BYPASS-SURGERY [J].