Retrograde Suction Decompression with an Inahara Carotid Shunt for Clipping a Large Distal Internal Carotid Artery Aneurysm.
10.3349/ymj.2017.58.2.449
- Author:
Yong Sook PARK
1
;
Taek Kyun NAM
Author Information
1. Department of Neurosurgery, Chung-Ang University Hospital, Seoul, Korea. nsnam@cau.ac.kr
- Publication Type:Case Report
- Keywords:
Intracranial aneurysm;
carotid artery;
decompression
- MeSH:
Aneurysm*;
Arteries;
Carotid Arteries;
Carotid Artery, Internal*;
Choroid;
Decompression*;
Humans;
Intracranial Aneurysm;
Neck Dissection;
Parents;
Suction*
- From:Yonsei Medical Journal
2017;58(2):449-452
- CountryRepublic of Korea
- Language:English
-
Abstract:
We describe a technique to clip a large internal carotid artery (ICA) aneurysm via a retrograde suction decompression (RSD). A large aneurysm in the right distal ICA involving the bifurcation region measuring 1.2×1.1×0.7 cm with posterior projection was managed with assisted RSD technique. The anterior choroidal artery emerged from the side wall of the aneurysm. An Inahara shunt was inserted into the ICA with neck dissection, and RSD was applied after completely clipping the aneurysm. RSD with an Inahara carotid shunt is useful for complete visualization of the aneurysm, including its surrounding structures, and for proximal control of the parent vessels, subsequently achieving satisfactory clip placement.
