NEUROSURGICAL
FOCUS
Neurosurg Focus 38 (1):Video 20, 2015
Clip reconstruction of an 8 cm giant internal carotid artery bifurcation aneurysm: microsurgical technique Ulas Cikla, M.D., Kutluay Uluc, M.D., and Mustafa K. Baskaya, M.D. Department of Neurological Surgery, University of Wisconsin, Madison, Wisconsin
Thrombosed giant intracranial aneurysms usually present with symptoms and signs from their mass effect. Although multiple treatment options are available, direct clip reconstruction with thromboendarterectomy remains the gold standard. Here we present a 66-year-old man with seizure, aphasia and hemiparesis. Work-up revealed a giant partially thrombosed aneurysm of the internal carotid artery bifurcation with surrounding vasogenic edema. He underwent clip reconstruction of the aneurysm via a cranio-orbital approach. Although we prepared for bypass with the radial artery and/ or the superficial temporal artery, we were able to clip-reconstruct the aneurysm without bypass. The patient improved upon his pre-morbid state after surgery and made an excellent recovery. The video can be found here: http://youtu.be/P_10hRQFuPo. KEY WORDS intracranial aneurysm; giant aneurysm; thromboendarterectomy; microsurgical clipping; internal carotid artery
SUBMITTED September 1, 2014. ACCEPTED October 9, 2014. INCLUDE WHEN CITING DOI: 10.3171/2015.V1.FOCUS14618. CORRESPONDENCE Mustafa K. Baskaya, M.D., University of Wisconsin, Neurological Surgery, 600 Highland Ave. K4/828 CSC, Madison, Wisconsin 53792. Email: [email protected]. ©AANS, 2015
Neurosurg Focus Volume 38 (Suppl 1) • January 2015
1
FOCUS
Neurosurg Focus 38 (1):Video 20, 2015
Clip reconstruction of an 8 cm giant internal carotid artery bifurcation aneurysm: microsurgical technique Ulas Cikla, M.D., Kutluay Uluc, M.D., and Mustafa K. Baskaya, M.D. Department of Neurological Surgery, University of Wisconsin, Madison, Wisconsin
Thrombosed giant intracranial aneurysms usually present with symptoms and signs from their mass effect. Although multiple treatment options are available, direct clip reconstruction with thromboendarterectomy remains the gold standard. Here we present a 66-year-old man with seizure, aphasia and hemiparesis. Work-up revealed a giant partially thrombosed aneurysm of the internal carotid artery bifurcation with surrounding vasogenic edema. He underwent clip reconstruction of the aneurysm via a cranio-orbital approach. Although we prepared for bypass with the radial artery and/ or the superficial temporal artery, we were able to clip-reconstruct the aneurysm without bypass. The patient improved upon his pre-morbid state after surgery and made an excellent recovery. The video can be found here: http://youtu.be/P_10hRQFuPo. KEY WORDS intracranial aneurysm; giant aneurysm; thromboendarterectomy; microsurgical clipping; internal carotid artery
SUBMITTED September 1, 2014. ACCEPTED October 9, 2014. INCLUDE WHEN CITING DOI: 10.3171/2015.V1.FOCUS14618. CORRESPONDENCE Mustafa K. Baskaya, M.D., University of Wisconsin, Neurological Surgery, 600 Highland Ave. K4/828 CSC, Madison, Wisconsin 53792. Email: [email protected]. ©AANS, 2015
Neurosurg Focus Volume 38 (Suppl 1) • January 2015
1
