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Endovascular treatment of giant intracranial aneurysm in 1 case

Figure l Preoperative left common carotid artery angiography ( lateral view ) shows left common carotid artery cavernous segment giant aneurysms in Figure 2 Postoperative right internal carotid artery angiography ( anteroposterior ) left common carotid artery embolization with detachable balloon Kai . The right carotid artery angiography showed : left common carotid artery aneurysm is no longer developing . Left anterior , artery imaging is good. 2 discussions within the aneurysm diameter Dayton > 25mm straw = a giant aneurysm , each of Guangxi Medical University reported that 944 * 2000Oct; 17 (5) the incidence rate of between 4 to 12 BU . . The traditional treatment is surgical ligation or isolated carotid surgery, but was still as high as 25 in the postoperative Xin , and can not tolerate carotid artery blood flow occlusion , the need to bypass the line blood vessels inside and outside Washington . In recent years, endovascular therapy has become the rule in some difficult intracranial aneurysms preferred method = Donets giant aneurysms often attached to the wall of blood within the existing GUI ,[link widoczny dla zalogowanych], the operation should not be given away balloon endovascular aneurysm ,[link widoczny dla zalogowanych], Otherwise the balloon in the tumor cavity and from the movement. Mural thrombus may lead to loss . Cerebral embolism caused serious complications , requiring carotid artery through the occlusion , thereby reducing the impact of l driving change in strength and direction of blood flow , reducing pressure inside the aneurysm to promote tumor aneurysm thrombosis was leaving the decision ,[link widoczny dla zalogowanych], Deputy cure Before the internal carotid artery occlusion . Predicted to be as annoying chirp angiography before and after the circulation of the old man cross the blood supply situation and the Temple of TCD monitoring of changes in the blood glistening banquet permit only imaging before and after the traffic branch compensated well. After the determination of occlusion ipsilateral TCD blood flow in the large aim faster than 16cm! / s or more. Otherwise, only the internal carotid artery occlusion and intracranial bypass surgery should be first or insist on making Matastest to promote collateral circulation , the ipsilateral internal carotid artery re- closure cold. The only way to prevent the occurrence of cerebral ischemic complications in patients before surgery ashamed Bong l 『 3 weeks effective MatasEeM,[link widoczny dla zalogowanych], intraoperative angiographic occlusion test line card before the feast Qi , posterior communicating artery collateral circulation is good. TCD determination of ipsilateral middle cerebral artery blood flow velocity was 25cm. . . Therefore did not occur after cerebral ischemic complications .
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