In:
Neurosurgery, Ovid Technologies (Wolters Kluwer Health), Vol. 26, No. 2 ( 1990-02-01), p. 315-319
Abstract:
A case of an unruptured giant aneurysm of the cavernous portion of the left internal carotid artery associated with a persistent primitive trigeminal artery (PTA) is presented. The usual surgical approach to giant aneurysms at this site. including ligation of the ipsilateral internal carotid artery (ICA) and an extracranial-intracranial (EC-IC) bypass, was inadequate because of continued blood supply to the aneurysm via the PTA from the vertebrobasilar system. The patient was successfully treated with a combination of EC-IC bypass surgery, ICA ligation, and simultaneous intravascular balloon obliteration of the ICA just distal to the junction of the PTA and immediately proximal to the aneurysmal neck. Follow-up radiological investigations showed thrombosis of the aneurysm.
Type of Medium:
Online Resource
ISSN:
0148-396X
,
1524-4040
DOI:
10.1227/00006123-199002000-00021
Language:
English
Publisher:
Ovid Technologies (Wolters Kluwer Health)
Publication Date:
1990
detail.hit.zdb_id:
1491894-8
Permalink