Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Neck Clipping of Giant Aneurysm in ICA Using Intra-Operative Temporary Balloon Occlusion and Suction Decompression Technique - A Case Report -

술중 풍선 확장을 이용한 일시적 근위부 결찰과 흡입, 감압술을 실시한 내경동맥의 거대동맥류 결찰 - 증례보고 -

  • Weon, Keun Soo (Department of Neurosurgery, School of Medicine, Ajou University) ;
  • Shin, Yong Sam (Department of Neurosurgery, School of Medicine, Ajou University) ;
  • Park, Han Jun (Department of Neurosurgery, School of Medicine, Ajou University) ;
  • Lee, Seung Un (Department of Neurosurgery, School of Medicine, Ajou University) ;
  • Yun, Su Han (Department of Neurosurgery, School of Medicine, Ajou University) ;
  • Cho, Ki Hong (Department of Neurosurgery, School of Medicine, Ajou University) ;
  • Cho, Kyung Gi (Department of Neurosurgery, School of Medicine, Ajou University)
  • 원근수 (아주대학교 의과대학 신경외과학교실) ;
  • 신용삼 (아주대학교 의과대학 신경외과학교실) ;
  • 박한준 (아주대학교 의과대학 신경외과학교실) ;
  • 이성운 (아주대학교 의과대학 신경외과학교실) ;
  • 윤수한 (아주대학교 의과대학 신경외과학교실) ;
  • 조기홍 (아주대학교 의과대학 신경외과학교실) ;
  • 조경기 (아주대학교 의과대학 신경외과학교실)
  • Received : 2001.09.18
  • Accepted : 2001.10.06
  • Published : 2001.12.31
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Abstract

Apatient, 51 years old woman, had suffered form headache and decrease of visual acuity. She had $3{\times}3cm$ sized giant aneurysm originated in cavernous and clinoid portion of left ICA(C4,C5) in the cerebral angiography. Before craniotomy, left CCA was exposed and 6F double lumen catheter was inserted in left ICA through the sheath. Pre-operative angiography was done. balloon catheter was positioned at the petrous portion of ICA. Eyebrow approach was done and giant aneurysm was exposed. The proximal blood flow was controlled with balloon dilatation and suction and decompression was tried, then multiple clips were applied. The loss of distal blood flow under intra-operative angiography was notified after clipping. The position of clips were repositioned to preserve blood flow & the rich flow was confirmed at distal part of clipping. In the post-operative cerebral angiography, the same finding was shown.

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