A case report of retrograde suction decompression of a large paraclinoid aneurysm

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Ahmed Mohamed Khalil
Yashuhiro Yamada
Katsumi Takizawa
Yoko Kato
Ahmed Ansari

Abstract

Surgical clipping of large Paraclinoidal IC (Internal carotid) aneurysm pose a great challenge as there are adhesions hindering exposure of aneurysm dome and parent artery . Obtaining adequate visualization of the aneurysm neck is very difficult in these aneurysms, also in the access of proximal control. There are many methods to obtain a proximal control in these aneurysms. Retrograde suction decompression provides adequate visualization of the aneurysm neck and its relation with the optic apparatus. Retrograde suction decompression can be done by many methods. The technique done via open catheterization of superior thyroid artery is readily accessible and provides adequate relaxation of the aneurysm dome enabling complete dissection of the aneurysm from the surrounding important neurovascular structures. In this report of a case of left Paraclinoidal ICA aneurysm which was clipped applying this method, we elaborate on the technique and discuss other methods available for proximal control in these difficult aneurysms.

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How to Cite
Khalil, A., Yamada, Y., Takizawa, K., Kato, Y., & Ansari, A. (2019). A case report of retrograde suction decompression of a large paraclinoid aneurysm. Romanian Neurosurgery, 33(3), 322-325. https://doi.org/10.33962/roneuro-2019-054
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Author Biographies

Ahmed Mohamed Khalil

Department of Neurosurgery, Faculty of Medicine, Alexandria University, EGYPT

Yashuhiro Yamada

Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya, JAPAN

Katsumi Takizawa

Department of Neurosurgery, Asahikawa Redcross Hospital, Hokkaido, JAPAN

Yoko Kato

Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya, JAPAN

Ahmed Ansari

Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya, JAPAN