Surgical Access to the Paraclinoid Segment of the Internal Carotid Artery: A Technical Review
نویسندگان
چکیده
Surgical access to the paraclinoid segment of the internal carotid artery is important to know for surgical treatment of aneurysms of the paraclinoid, carotid-ophthalmic and/or anterior cavernous segments of the interAlındığı tarih: 13.01.2013 Kabul tarihi: 01.10.2013 Yazışma adresi: Uzm. Dr. Bülent Güçlü, Sağlık Bakanlığı Şevket Yılmaz Eğitim ve Araştırma Hastanesi, Nöroşirürji Kliniği, Yıldırım 16310 Bursa e-mail: [email protected] Sinir Sistemi Cerrahisi Derg 4(1):1-8, 2014
منابع مشابه
The Treatment of Large and Giant Paraclinoid Internal Carotid Artery Aneurysms
Paraclinoid internal carotid artery aneurysms originate from the internal carotid artery between the distal dural ring and the posterior communicating artery. Surgical treatment of these aneurysms is technically challenging because of the surrounding neurovascular structures. There are several ways to treat these lesions: direct clipping with retrograde suction decompression, endovascular coili...
متن کاملInternal Carotid Artery Reconstruction Using Multiple Fenestrated Clips for Complete Occlusion of Large Paraclinoid Aneurysms
OBJECTIVE Although surgical techniques for clipping paraclinoid aneurysms have evolved significantly in recent times, direct microsurgical clipping of large and giant paraclinoid aneurysms remains a formidable surgical challenge. We review here our surgical experiences in direct surgical clipping of large and giant paraclinoid aneurysms, especially in dealing with anterior clinoidectomy, distal...
متن کاملThe Pterional Approach and Extradural Anterior Clinoidectomy to Clip Paraclinoid Aneurysms
OBJECTIVE The surgical clipping of paraclinoid segment internal carotid artery aneurysms is considered difficult because of the complex anatomical location and important neighboring structures. Our experiences of pterional craniotomy and extradural anterior clinoidectomy (EAC) to clip paraclinoid aneurysms are reported herein. METHODS We present two patients with paraclinoid aneurysms who und...
متن کاملUsefulness of volume-rendered three-dimensional computed tomographic angiography for surgical planning in treating unruptured paraclinoid internal carotid artery aneurysms.
Paraclinoid internal carotid artery aneurysms are difficult to treat and difficult to visualize by using DSA, MRA, or surface-rendered 3D-CTA. Because those aneurysms are surrounded by bone, the dural ring (proximal and distal), the optic nerve, the oculomotor nerve, and the cavernous sinus. This report represents the first attempt to assess the verification of volume-rendered 3D-CTA for surgic...
متن کاملSurgical clipping is still a good choice for the treatment of paraclinoid aneurysms.
UNLABELLED Paraclinoid aneurysms are lesions located adjacent to the clinoid and ophthalmic segments of the internal carotid artery. In recent years, flow diverter stents have been introduced as a better endovascular technique for treatment of these aneurysms. METHOD From 2009 to 2014, a total of 43 paraclinoid aneurysms in 43 patients were surgically clipped. We retrospectively reviewed the ...
متن کامل