Basilar trunk aneurysm surgically treated with anterior petrosectomy and external carotid artery-to-posterior cerebral artery bypass: Technical note

Shunsuke Terasaka, Koji Itamoto, Kiyohiro Houkin, Takeshi Kawase, H. Hunt Batjer, Nobuo Hashimoto, Laligam N. Sekhar, Ramin Rak

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

OBJECTIVE: We discuss a detailed surgical technique, its indications, and potential pitfalls in its use. METHODS: A surgical procedure combining Kawase's anterior petrosectomy and external carotid artery-to-posterior cerebral artery high-flow bypass was performed for the treatment of a patient with a fusiform basilar trunk aneurysm. RESULTS: Follow-up angiography revealed the successful obliteration of the aneurysm and that the graft was functioning well. Late ischemic complications, however, occurred 5 weeks after surgery. CONCLUSION: Kawase's approach is a versatile option for safe vascular reconstruction of the posterior cerebral artery and exposure of a basilar trunk aneurysm in the upper clival region. Although, theoretically, a high-flow bypass might decrease the risk of hemodynamic ischemia, it does not prevent thromboembolic complications.

Original languageEnglish (US)
Pages (from-to)1083-1088
Number of pages6
JournalNeurosurgery
Volume51
Issue number4
DOIs
StatePublished - Oct 1 2002

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Posterior Cerebral Artery
External Carotid Artery
Aneurysm
Blood Vessels
Angiography
Ischemia
Hemodynamics
Transplants
Therapeutics

Keywords

  • Basilar artery
  • Basilar trunk
  • Cerebral aneurysm
  • Cranial base surgery
  • Kawase approach
  • Skull base surgery
  • Surgical technique

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Basilar trunk aneurysm surgically treated with anterior petrosectomy and external carotid artery-to-posterior cerebral artery bypass : Technical note. / Terasaka, Shunsuke; Itamoto, Koji; Houkin, Kiyohiro; Kawase, Takeshi; Batjer, H. Hunt; Hashimoto, Nobuo; Sekhar, Laligam N.; Rak, Ramin.

In: Neurosurgery, Vol. 51, No. 4, 01.10.2002, p. 1083-1088.

Research output: Contribution to journalArticle

Terasaka, Shunsuke ; Itamoto, Koji ; Houkin, Kiyohiro ; Kawase, Takeshi ; Batjer, H. Hunt ; Hashimoto, Nobuo ; Sekhar, Laligam N. ; Rak, Ramin. / Basilar trunk aneurysm surgically treated with anterior petrosectomy and external carotid artery-to-posterior cerebral artery bypass : Technical note. In: Neurosurgery. 2002 ; Vol. 51, No. 4. pp. 1083-1088.
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AU - Terasaka, Shunsuke

AU - Itamoto, Koji

AU - Houkin, Kiyohiro

AU - Kawase, Takeshi

AU - Batjer, H. Hunt

AU - Hashimoto, Nobuo

AU - Sekhar, Laligam N.

AU - Rak, Ramin

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KW - Basilar trunk

KW - Cerebral aneurysm

KW - Cranial base surgery

KW - Kawase approach

KW - Skull base surgery

KW - Surgical technique

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