scholarly journals Aneurysm rupture caused by the aneurysm clip dislodging from the clip applier: A surgical video on the management of a known hazard for vascular neurosurgeons

2021 ◽  
pp. 101365
Author(s):  
Kenya Miyoshi ◽  
Hiroshi Kashimura ◽  
Yosuke Akamatsu ◽  
Wataru Yanagihara ◽  
Kenta Aso
Keyword(s):  
Aneurysm Rupture ◽  
Aneurysm Clip ◽  
Surgical Video

Microvascular Decompression for Trigeminal Neuralgia: A Durable, Noncompressive Technique Using Teflon Secured With Mini Clip

2018 ◽  
Vol 16 (5) ◽  
pp. 580-582
Author(s):  
Robert E Breeze ◽  
Daniel B Craig
Keyword(s):  
Trigeminal Neuralgia ◽  
Trigeminal Nerve ◽  
Microvascular Decompression ◽  
Recent Literature ◽  
Peripheral Vascular ◽  
Aneurysm Clip ◽  
Surgical Video ◽  
Nerve Decompression

Abstract BACKGROUND In cases of trigeminal neuralgia, the importance of durable separation of involved vessels from the trigeminal nerve as well as avoiding ongoing or recurrent compression by implanted material has been affirmed in recent literature. OBJECTIVE To demonstrate a novel and straightforward technique for trigeminal nerve decompression using a construct of Teflon felt patty (Bard Peripheral Vascular, Tempe, Arizona) secured with an aneurysm mini clip to achieve lasting results with no residual contact between implant or vessels and the nerve. METHODS Description of our technique and accompanying surgical video. RESULTS As demonstrated in the video, this technique achieves an ideal, durable separation of the trigeminal nerve from the offending vasculature. CONCLUSION The authors present a description of a technique for decompression with the goal of leaving no contact between implanted material and the nerve. This is accomplished by securing the Teflon felt (Bard Peripheral Vascular) to the tentorium with an aneurysm clip.

Contrast-enhanced ultrasound of the abdominal aorta – current status and future perspectives

VASA ◽  
2019 ◽  
Vol 48 (2) ◽  
pp. 115-125 ◽  
Author(s):  
Xin Li ◽  
Daniel Staub ◽  
Vasileios Rafailidis ◽  
Mohammed Al-Natour ◽  
Sanjeeva Kalva ◽  
...  
Keyword(s):  
Real Time ◽  
Vascular Diseases ◽  
Aneurysm Rupture ◽  
Vasa Vasorum ◽  
Current Status ◽  
Contrast Enhanced Ultrasound ◽  
Aortic Diseases ◽  
Cross Sectional ◽  
Vascular Abnormalities ◽  
Contrast Enhanced

Abstract. Ultrasound has been established as an important diagnostic tool in assessing vascular abnormalities. Standard B-mode and Doppler techniques have inherent limitations with regards to detection of slow flow and small vasculature. Contrast-enhanced ultrasound (CEUS) is a complementary tool and is useful in assessing both the macro- and microvascular anatomy of the aorta. CEUS can also provide valuable physiological information in real-time scanning sessions due to the physical and safety profiles of the administered microbubbles. From a macrovascular perspective, CEUS has been used to characterize aortic aneurysm rupture, dissection and endoleaks post-EVAR repair. With regard to microvasculature CEUS enables imaging of adventitial vasa vasorum thereby assessing aortic inflammation processes, such as monitoring treatment response in chronic periaortitis. CEUS may have additional clinical utility since adventitial vasa vasorum has important implications in the pathogenesis of aortic diseases. In recent years, there have been an increasing number of studies comparing CEUS to cross-sectional imaging for aortic applications. For endoleak surveillance CEUS has been shown to be equal or in certain cases superior in comparison to CT angiography. The recent advancement of CEUS software along with the ongoing development of drug-eluting contrast microbubbles has allowed improved targeted detection and real-time ultrasound guided therapy for aortic vasa vasorum inflammation and neovascularization in animal models. Therefore, CEUS is uniquely suited to comprehensively assess and potentially treat aortic vascular diseases in the future.

The First Description of a Basilar Artery Aneurysm Rupture in 1836

2013 ◽  
Vol 74 (S 01) ◽  
Author(s):  
Andreas Demetriades ◽  
Takashi Horiguchi ◽  
James Goodrich ◽  
Takeshi Kawase
Keyword(s):  
Basilar Artery ◽  
Artery Aneurysm ◽  
Aneurysm Rupture ◽  
Basilar Artery Aneurysm

Is Intracranial Aneurysm Rupture Related to Solar Activity?

2014 ◽  
Vol 75 (S 02) ◽  
Author(s):  
M. Stienen ◽  
N. Smoll ◽  
M. Battaglia ◽  
B. Schatlo ◽  
C. Woernle ◽  
...  
Keyword(s):  
Solar Activity ◽  
Intracranial Aneurysm ◽  
Aneurysm Rupture

Type I Endoleaks: Is Aneurysm Rupture Risk Dependent on the Presence of Type II Endoleaks?

2002 ◽  
Vol 9 (5) ◽  
pp. 707-709 ◽  
Author(s):  
Stéphan Haulon ◽  
Serge Willoteaux ◽  
Mohamad Koussa ◽  
Pascal Halna ◽  
Jean-Paul Beregi
Keyword(s):  
Aneurysm Rupture ◽  
Type I ◽  
Type Ii ◽  
Rupture Risk

Effect of blood rheology model on hemodynamic parameters related to intracranial aneurysm rupture

2018 ◽  
Author(s):  
Iago Lessa de Oliveira ◽  
Gabriel Bertacco dos Santos ◽  
José Luiz Gasche ◽  
Julio Militzer ◽  
Carlos Baccin
Keyword(s):  
Intracranial Aneurysm ◽  
Blood Rheology ◽  
Aneurysm Rupture ◽  
Hemodynamic Parameters ◽  
Rheology Model

Microsurgical resection of a glioblastoma multiforme of the medulla oblongata with intraoperative subcortical stimulation and mapping

2019 ◽  
Vol 1 (2) ◽  
pp. V1
Author(s):  
Sima Sayyahmelli ◽  
Jian Ruan ◽  
Bryan Wheeler ◽  
Mustafa K. Başkaya
Keyword(s):  
Glioblastoma Multiforme ◽  
Surgical Resection ◽  
Medulla Oblongata ◽  
Cranial Nerves ◽  
The Body ◽  
Fine Motor ◽  
Surgical Video ◽  
Inferior Aspect ◽  
Hyperintense Signal ◽  
Microsurgical Resection

Primary glioblastoma multiforme tumors of the medulla oblongata are rare, especially in the adult population. Perhaps due to this rarity, we are not aware of any previous reports addressing the resection of these tumors or their clinical outcomes.In this surgical video, we present a 43-year-old man with a 1-month history of left-sided paresthesia. The paresthesia initiated in the left hand, along with weakness and reduced fine motor control, and then spread to the entire left side of the body. He had recent weight loss, imbalance, difficulty in swallowing, and hoarseness in his voice. He also had a diminished gag reflex, and significant atrophy of the right side of the tongue with an accompanying deviation of the uvula and fasciculations of the tongue. MRI showed an infiltrative expansile mass within the medulla with peripheral enhancement and central necrosis. In T2/FLAIR sequences, a hyperintense signal extended superiorly into the left inferior aspect of the pons and left inferior cerebellar peduncle and inferiorly into the upper cervical cord.The decision was made to proceed with surgical resection. The patient underwent a midline suboccipital craniotomy with C1 laminectomy for surgical resection of this infiltrative expansile intrinsic mass in the medulla oblongata, with concurrent monitoring of motor and somatosensory evoked potentials and monitoring of lower cranial nerves IX, X, XI, and XII. A gross-total resection of the enhancing portion of the tumor was performed, along with a subtotal resection of the nonenhancing portion. The surgery and postoperative course were uneventful. Histopathology revealed a grade IV astrocytoma. The patient received radiation therapy.In this surgical video, we demonstrate important steps for the microsurgical resection of this challenging glioblastoma multiforme of the medulla oblongata.The video can be found here: https://youtu.be/QHbOVxdxbeU.

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