c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Extracranial-Intracranial Bypass for Giant Intracavernous Internal Carotid Aneurysm: 10

A D V E R T I S E M E N T

   
 

The locations of the two aneurysms are shown schematically. The tip of the left anterior clinoid process is cut away to expose the smaller aneurysm.       

Notes:

Link to this frame from your Personal Thumbnails page? Yes No


 

Extracranial-Intracranial Bypass for Giant Intracavernous Internal Carotid Aneurysm: 11

A D V E R T I S E M E N T

   
 

The patient was advised of the risk of rupture and the danger of exsanguinating epistaxis due to the location of the aneurysm. She was given the option of observation or bypass with exclusion of the aneurysm. Balloon occlusion of the aneurysm was not considered technically feasible because of the tortuous internal carotid artery and the danger of the contralateral aneurysm enlarging due to increased flow after right sided internal carotid occlusion. Due to the patient's active life style and the risk of rupture, the patient elected to have bypass and occlusion. The patient was positioned in radiolucent tongs with the right arm and neck exposed for radial artery graft (see ECIC bypass) harvest and carotid dissection in the neck.    

Notes:

Link to this frame from your Personal Thumbnails page? Yes No


 

Extracranial-Intracranial Bypass for Giant Intracavernous Internal Carotid Aneurysm: 12

A D V E R T I S E M E N T

   
 

The patient was wired for monitoring sensory somatic evoked potentials from ulnar and posterior tibial nerves, cervical spine and sensory cortex, as well as EEG. A test balloon occlusion of the right internal carotid on the day prior to surgery resulted in no neurological deficit, indicating adequate collateral circulation for temporary occlusion during the procedure.      

Notes:

Link to this frame from your Personal Thumbnails page? Yes No

 

Click the "Update" button to save your Notes and Personal Thumbnails.

 

Thumbnails

This page was last modified on 6/21/2002.