A1-A2 interposition grafting for surgical treatment of a giant "unclippable" A1 segment aneurysm

Erik Friedrich Hauck; Duke Samson

doi:10.1016/j.surneu.2008.01.058

A1-A2 interposition grafting for surgical treatment of a giant "unclippable" A1 segment aneurysm

Erik Friedrich Hauck, Duke Samson

Neurological Surgery

Research output: Contribution to journal › Article › peer-review

14 Scopus citations

Abstract

Background: Although various bypass options for the surgical treatment of middle cerebral artery aneurysms have been described, little has been reported about similar options for complex aneurysms of the anterior cerebral artery. Case description: We report the case of a 15-year-old adolescent girl, in whom a giant A1 segment aneurysm was successfully treated with aneurysm resection followed by saphenous vein interposition grafting. Conclusion: Recognizing the option for a bypass can be the key to success in the surgical management of complex intracranial aneurysms. A potential donor vessel of appropriate size (either arterial or venous) should be prospectively identified. Interposition grafting is technically feasible for proximal anterior cerebral artery aneurysms, although technically demanding.

Original language	English (US)
Pages (from-to)	600-603
Number of pages	4
Journal	Surgical neurology
Volume	71
Issue number	5
DOIs	https://doi.org/10.1016/j.surneu.2008.01.058
State	Published - May 2009

Keywords

Anterior cerebral artery
Bypass
Giant intracranial aneurysm

ASJC Scopus subject areas

Surgery
Clinical Neurology

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10.1016/j.surneu.2008.01.058

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abstract = "Background: Although various bypass options for the surgical treatment of middle cerebral artery aneurysms have been described, little has been reported about similar options for complex aneurysms of the anterior cerebral artery. Case description: We report the case of a 15-year-old adolescent girl, in whom a giant A1 segment aneurysm was successfully treated with aneurysm resection followed by saphenous vein interposition grafting. Conclusion: Recognizing the option for a bypass can be the key to success in the surgical management of complex intracranial aneurysms. A potential donor vessel of appropriate size (either arterial or venous) should be prospectively identified. Interposition grafting is technically feasible for proximal anterior cerebral artery aneurysms, although technically demanding.",

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AU - Samson, Duke

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AB - Background: Although various bypass options for the surgical treatment of middle cerebral artery aneurysms have been described, little has been reported about similar options for complex aneurysms of the anterior cerebral artery. Case description: We report the case of a 15-year-old adolescent girl, in whom a giant A1 segment aneurysm was successfully treated with aneurysm resection followed by saphenous vein interposition grafting. Conclusion: Recognizing the option for a bypass can be the key to success in the surgical management of complex intracranial aneurysms. A potential donor vessel of appropriate size (either arterial or venous) should be prospectively identified. Interposition grafting is technically feasible for proximal anterior cerebral artery aneurysms, although technically demanding.

KW - Anterior cerebral artery

KW - Bypass

KW - Giant intracranial aneurysm

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A1-A2 interposition grafting for surgical treatment of a giant "unclippable" A1 segment aneurysm

Abstract

Keywords

ASJC Scopus subject areas

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