Retrograde suction decompression of giant paraclinoidal aneurysms. Technical note

H. H. Batjer, D. S. Samson

Research output: Contribution to journalArticle

90 Citations (Scopus)

Abstract

Giant paraclinoidal carotid artery aneurysms frequently require temporary interruption of local circulation to facilitate safe occlusion. Due to brisk retrograde flow through the ophthalmic artery and cavernous branches, simple trapping of the aneurysm by cervical internal carotid artery clamping and intracranial distal clipping may not adequately soften the lesion. The authors describe a retrograde suction method of aspiration of this collateral supply which they have used in over 40 cases. After temporary trapping, a No. 18 angiocatheter is inserted into the cervical internal carotid artery. This catheter is then connected to a wall suction point allowing rapid aneurysm deflation. This technique, accomplished by the surgical assistant, permits the surgeon the freedom to use both hands in dealing quickly with the aneurysm.

Original languageEnglish (US)
Pages (from-to)305-306
Number of pages2
JournalJournal of Neurosurgery
Volume73
Issue number2
StatePublished - 1990

Fingerprint

Suction
Decompression
Aneurysm
Internal Carotid Artery
Ophthalmic Artery
Carotid Arteries
Constriction
Catheters
Hand

Keywords

  • aneurysm
  • giant aneurysm
  • operative technique
  • suction

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

Cite this

Retrograde suction decompression of giant paraclinoidal aneurysms. Technical note. / Batjer, H. H.; Samson, D. S.

In: Journal of Neurosurgery, Vol. 73, No. 2, 1990, p. 305-306.

Research output: Contribution to journalArticle

@article{ed6bccbda0d148d5933e86e0a3c97b36,
title = "Retrograde suction decompression of giant paraclinoidal aneurysms. Technical note",
abstract = "Giant paraclinoidal carotid artery aneurysms frequently require temporary interruption of local circulation to facilitate safe occlusion. Due to brisk retrograde flow through the ophthalmic artery and cavernous branches, simple trapping of the aneurysm by cervical internal carotid artery clamping and intracranial distal clipping may not adequately soften the lesion. The authors describe a retrograde suction method of aspiration of this collateral supply which they have used in over 40 cases. After temporary trapping, a No. 18 angiocatheter is inserted into the cervical internal carotid artery. This catheter is then connected to a wall suction point allowing rapid aneurysm deflation. This technique, accomplished by the surgical assistant, permits the surgeon the freedom to use both hands in dealing quickly with the aneurysm.",
keywords = "aneurysm, giant aneurysm, operative technique, suction",
author = "Batjer, {H. H.} and Samson, {D. S.}",
year = "1990",
language = "English (US)",
volume = "73",
pages = "305--306",
journal = "Journal of Neurosurgery",
issn = "0022-3085",
publisher = "American Association of Neurological Surgeons",
number = "2",

}

TY - JOUR

T1 - Retrograde suction decompression of giant paraclinoidal aneurysms. Technical note

AU - Batjer, H. H.

AU - Samson, D. S.

PY - 1990

Y1 - 1990

N2 - Giant paraclinoidal carotid artery aneurysms frequently require temporary interruption of local circulation to facilitate safe occlusion. Due to brisk retrograde flow through the ophthalmic artery and cavernous branches, simple trapping of the aneurysm by cervical internal carotid artery clamping and intracranial distal clipping may not adequately soften the lesion. The authors describe a retrograde suction method of aspiration of this collateral supply which they have used in over 40 cases. After temporary trapping, a No. 18 angiocatheter is inserted into the cervical internal carotid artery. This catheter is then connected to a wall suction point allowing rapid aneurysm deflation. This technique, accomplished by the surgical assistant, permits the surgeon the freedom to use both hands in dealing quickly with the aneurysm.

AB - Giant paraclinoidal carotid artery aneurysms frequently require temporary interruption of local circulation to facilitate safe occlusion. Due to brisk retrograde flow through the ophthalmic artery and cavernous branches, simple trapping of the aneurysm by cervical internal carotid artery clamping and intracranial distal clipping may not adequately soften the lesion. The authors describe a retrograde suction method of aspiration of this collateral supply which they have used in over 40 cases. After temporary trapping, a No. 18 angiocatheter is inserted into the cervical internal carotid artery. This catheter is then connected to a wall suction point allowing rapid aneurysm deflation. This technique, accomplished by the surgical assistant, permits the surgeon the freedom to use both hands in dealing quickly with the aneurysm.

KW - aneurysm

KW - giant aneurysm

KW - operative technique

KW - suction

UR - http://www.scopus.com/inward/record.url?scp=0025282259&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0025282259&partnerID=8YFLogxK

M3 - Article

C2 - 2366090

AN - SCOPUS:0025282259

VL - 73

SP - 305

EP - 306

JO - Journal of Neurosurgery

JF - Journal of Neurosurgery

SN - 0022-3085

IS - 2

ER -