Saphenous vein graft bypass in the treatment of giant cavernous sinus aneurysms: report of two cases
Arq. neuropsiquiatr
; Arq. neuropsiquiatr;58(1): 162-8, mar. 2000. ilus
Article
de En
| LILACS
| ID: lil-255081
Bibliothèque responsable:
BR1.1
RESUMO
Two cases of giant intracavernous aneurysms treated by high flow bypass with saphenous vein graft between the external carotid artery (ECA) and branches of the middle cerebral artery (MCA) are presented. Very often these aneurysms are unclippable because they are fusiform or have a large neck. Occlusion of the internal carotid artery (ICA) is the treatment of choice in many cases. This procedure has however a high risk of brain infarction. Revascularization of the brain by extra-intracranial anastomosis between the superficial temporal artery (STA) and branches of the MCA is frequently performed. This procedure provides however a low flow bypass and brain infarction may occur. We report two cases of giant cavernous sinus aneurysms treated by high flow bypass and endovascular balloon occlusion of the ICA. Immediate high flow revascularization of MCA branches was achieved and the patients showed no ischemic events. Follow-up of 8 and 14 months after operation shows patency of the venous graft and no neurological deficits. Angiographic control examination showed complete aneurysm occlusion in both cases.
Texte intégral:
1
Indice:
LILACS
Sujet Principal:
Artères
/
Veine saphène
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Sinus caverneux
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Anévrysme intracrânien
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Implantation de prothèses vasculaires
Type d'étude:
Diagnostic_studies
Limites du sujet:
Adult
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Female
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Humans
/
Male
langue:
En
Texte intégral:
Arq. neuropsiquiatr
Thème du journal:
NEUROLOGIA
/
PSIQUIATRIA
Année:
2000
Type:
Article