scholarly journals Endovascular Approach vs. Microsurgical Approach for Basilar Tip Aneurysm

1997 ◽  
Vol 25 (2) ◽  
pp. 129-133 ◽  
Author(s):  
Kiyo NAKABAYASHI ◽  
Makoto NEGORO ◽  
Yatuo ITOU ◽  
Kaoru ICHIHARA
Keyword(s):  
Microsurgical Approach ◽  
Endovascular Approach ◽  
Basilar Tip Aneurysm

scholarly journals Balloon Assisted Endovascular Coiling in Wide Neck Basilar Tip Aneurysm

2021 ◽  
Keyword(s):  
Case Reports ◽  
Cerebral Aneurysms ◽  
Signs And Symptoms ◽  
Cost Effective ◽  
Endovascular Coiling ◽  
Stiff Neck ◽  
Complex Anatomy ◽  
Microsurgical Approach ◽  
Endovascular Approach ◽  
Basilar Tip Aneurysm

Basilar tip aneurysms are the commonest aneurysms of the posterior circulation and constitute around 5-8% of all cerebral aneurysms. Ruptured basilar tip aneurysms may present with signs and symptoms of subarachnoid hemorrhage (SAH) with sudden, extremely severe headache, nausea and vomiting, stiff neck, blurred or double vision, sensitivity to light, seizure, drooping eyelid and loss of consciousness. At times, the hemorrhage could be fatal, reaching mortality beyond 20%. Basilar tip aneurysms have complex anatomy and have always been considered difficult to treat. Two well-known options to treat basilar tip aneurysms include the microsurgical approach and the endovascular approach. Endovascular treatment is now a cost-effective, preferred and logical rationale for the management of intracranial aneurysms. This case reports the first ever coiling procedure that was performed at Ziauddin Hospital (North Campus) for a basilar tip aneurysm and the other major challenge faced at our center was that the neck was wide, hence requiring a supporting balloon.

Endovascular Approach vs Microsurgical Approach for Posterior Circulation Aneurysms

1997 ◽  
Vol 3 (2_suppl) ◽  
pp. 171-176 ◽  
Author(s):  
K. Nakabayashi ◽  
M. Negoro ◽  
Y. Itou ◽  
K. Ichihara
Keyword(s):  
Clinical Outcome ◽  
Early Stage ◽  
Posterior Circulation ◽  
Surgical Clipping ◽  
Detachable Coil ◽  
Guglielmi Detachable Coil ◽  
Detachable Coils ◽  
Posterior Circulation Aneurysms ◽  
Microsurgical Approach ◽  
Endovascular Approach

We compare the results of detachable coil embolization with those of surgical clipping in patients with posterior circulation aneurysms. Surgical procedure was performed in 31 patients (basilar tip: 13 cases, SCA: 8 cases, basilar trunk: 1 case, VA: 9 cases). Thirty one aneurysms were treated by embolization with Guglielmi detachable coil (GDC) and interlocking detachable coil (IDC) (basilar tip: 14 cases, SCA: 1 case, basilar trunk: 6 cases, VA: 10 cases). In surgical cases, clinical outcome at discharge showed good recovery (GR) in 14 cases, moderate deficits (MD) in 11 cases, severe deficits (SD) in 2 cases, and dead (D) in 4 cases. In embolization cases, clinical outcome at discharge showed GR in 19 cases, MD in 4 cases, SD in 1 case, and D in 1 case. Embolization with detachable coils is less invasive than surgical clipping in the management of patients with posterior circulation aneurysms. Embolization with detachable coils in ruptured posterior circulation aneurysm cases at an early stage of SAH may improve clinical outcome.

Pseudoaneurysm of the left internal carotid artery following tonsillectomy

VASA ◽  
2011 ◽  
Vol 40 (6) ◽  
pp. 491-494 ◽  
Author(s):  
Vávrová ◽  
Slezácek ◽  
Vávra ◽  
Karlová ◽  
Procházka
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Rare Complication ◽  
Left Internal Carotid Artery ◽  
Acute Tonsillitis ◽  
Artery Pseudoaneurysm ◽  
Complete Occlusion ◽  
Endovascular Approach ◽  
Deep Neck Infections

Internal carotid artery pseudoaneurysm is a rare complication of deep neck infections. The authors report the case of a 17-year-old male who presented to the Department of Otorhinolaryngology with an acute tonsillitis requiring tonsillectomy. Four weeks after the surgery the patient was readmitted because of progressive swallowing, trismus, and worsening headache. Computed tomography revealed a pseudoaneurysm of the left internal carotid artery in the extracranial segment. A bare Wallstent was implanted primarily and a complete occlusion of the pseudoaneurysm was achieved. The endovascular approach is a quick and safe method for the treatment of a pseudoaneurysm of the internal carotid artery.

Microsurgical Approach for Cerebral Aneurysm

1992 ◽  
Vol 20 (1) ◽  
pp. 33-37
Author(s):  
Kaoru ICHIHARA ◽  
Yatsuo ITOH ◽  
Masaoki ANSAI ◽  
Kouji OHSUKA
Keyword(s):  
Cerebral Aneurysm ◽  
Microsurgical Approach

scholarly journals Recovery of a broken PICC migrated in cardiac chambersan endovascular approach

2021 ◽  
Vol 16 (4) ◽  
pp. 874-878
Author(s):  
Giuseppe Sarti ◽  
Pasquale Quassone ◽  
Luca Tarotto ◽  
Stefania Tamburrini ◽  
Francesco Arienzo ◽  
...  
Keyword(s):  
Endovascular Approach

Current Endovascular Approach in Adult Patients with Pulmonary Vein Stenosis: A State-of-the-Art Approach

2021 ◽  
pp. 100850
Author(s):  
Ata Firouzi ◽  
Zahra Khajali ◽  
Hojjat Mortezaeian ◽  
Hamidreza Pouraliakbar ◽  
Bahram Mohebbi ◽  
...  
Keyword(s):  
Pulmonary Vein ◽  
State Of The Art ◽  
Adult Patients ◽  
Pulmonary Vein Stenosis ◽  
Endovascular Approach ◽  
Vein Stenosis

Symptomatic Pelvic Arteriovenous Malformation Treated Successfully With an Endovascular Approach

2020 ◽  
Vol 98 (8) ◽  
pp. 494-495
Author(s):  
Esther Doiz Artázcoz ◽  
Isabel María Manosalbas Rubio ◽  
Angel González Calbo ◽  
Jorge Jesús Martín Cañuelo ◽  
Manuel Rodríguez Piñero
Keyword(s):  
Arteriovenous Malformation ◽  
Endovascular Approach

scholarly journals Case report: direct revascularization in acute mesenteric ischemia by an endovascular approach

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
P. Genzel ◽  
L. C. van Dijk ◽  
H. T. C. Veger ◽  
J. J. Wever ◽  
R. G. S. van Eps ◽  
...  
Keyword(s):  
Case Report ◽  
Mesenteric Ischemia ◽  
Acute Mesenteric Ischemia ◽  
Endovascular Approach

scholarly journals Neuroanatomy of cranial dural vessels: implications for subdural hematoma embolization

2021 ◽  
pp. neurintsurg-2020-016798
Author(s):  
Maksim Shapiro ◽  
Melanie Walker ◽  
Kate T Carroll ◽  
Michael R Levitt ◽  
Eytan Raz ◽  
...  
Keyword(s):  
Subdural Hematoma ◽  
Ex Vivo ◽  
Vascular Anatomy ◽  
Middle Meningeal Artery ◽  
Artery Embolization ◽  
Strategic Approach ◽  
Fundamental Understanding ◽  
Endovascular Approach ◽  
Meningeal Artery

Adoption of middle meningeal artery embolization in the management of chronic subdural hematomas has led to a renewed interest in dural vascular anatomy. The readily identifiable major dural arteries and potential hazards associated with their embolization are well described. Less emphasized are several levels of intrinsic dural angioarchitecture, despite their more direct relationship to dural based diseases, such as subdural hematoma and dural fistula. Fortunately, microvascular aspects of dural anatomy, previously limited to ex vivo investigations, are becoming increasingly accessible to in vivo visualization, setting the stage for synthesis of the old and the new, and providing a rationale for the endovascular approach to subdural collections in particular. In contrast with traditional anatomical didactics, where descriptions advance from larger trunks to smaller pedicles, we present a strategic approach that proceeds from a fundamental understanding of the dural microvasculature and its relationship to larger vessels.

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