Therapeutic Strategies for Paraclinoid Aneurysms

نویسندگان
چکیده

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Treatment of giant paraclinoid aneurysms. Own experience.

OBJECTIVES The incidence of giant aneurysms in the paraclinoid section of the internal carotid artery (ICA) is low. They manifest their occurrence by subarachnoid haemorrhage and neurological and hormonal symptoms, resulting from compression on either the nervous structures or on the pituitary. The treatment of these aneurysms is a challenge for the surgeon, due to a difficult access, high oper...

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Multimodality treatment of complex unruptured cavernous and paraclinoid aneurysms.

BACKGROUND Unruptured aneurysms of the cavernous and paraclinoid internal carotid artery can be approached via microsurgical and endovascular approaches. Trends in treatment reflect a steady shift toward endovascular techniques. OBJECTIVE To analyze our results with multimodal treatment. METHODS We reviewed patients with unruptured cavernous and paraclinoid internal carotid artery aneurysms...

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Indocyanine green videoangiography in clipping of paraclinoid aneurysms.

AIM To evaluate the use of indocyanine green (ICG) videoangiography in surgical clipping of paraclinoid aneurysms. MATERIAL AND METHODS Intraoperative ICG videoangiography was used as a surgical adjunct in 60 patients with 65 paraclinoid aneurysms. The findings on ICG videoangiography were compared with postoperative imaging. RESULTS All 65 paraclinoid aneurysms were clearly identified by i...

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Angiographic and Clinical Result of Endovascular Treatment in Paraclinoid Aneurysms

PURPOSE The purpose of this study was to analyze the results of an immediate and mid-term angiographic and clinical follow-up of endovascular treatment for paraclinoid aneurysms. MATERIALS AND METHODS From January 2002 to December 2012, a total of 113 consecutive patients (mean age: 56.2 years) with 116 paraclinoid saccular aneurysms (ruptured or unruptured) were treated with endovascular coi...

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Isolated progressive visual loss after coiling of paraclinoid aneurysms.

BACKGROUND AND PURPOSE The proximity of the paraclinoid segment of the internal carotid artery to the visual pathways may result in visual deficits when patients present with aneurysms in this segment. Although surgical clip ligation of these aneurysms has been the standard of care for decades, the advent of coil embolization has permitted endovascular therapy in those aneurysms with favorable ...

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ژورنال

عنوان ژورنال: Surgery for Cerebral Stroke

سال: 2004

ISSN: 1880-4683,0914-5508

DOI: 10.2335/scs.32.421