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Ideal Internal Carotid Artery Trapping Technique without Bypass in a Patient with Insufficient Collateral Flow
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  • Ideal Internal Carotid Artery Trapping Technique without Bypass in a Patient with Insufficient Collateral Flow
  • Ideal Internal Carotid Artery Trapping Technique without Bypass in a Patient with Insufficient Collateral Flow
저자명
Chung. Joon-Ho,Shin. Yong-Sam,Lim. Yong-Cheol,Park. Min-Jung
간행물명
Journal of Korean neurosurgical society
권/호정보
2009년|45권 4호|pp.260-263 (4 pages)
발행정보
대한신경외과학회
파일정보
정기간행물|ENG|
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기타
이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
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기타언어초록

Internal carotid artery (ICA) trapping can be used for treating intracranial giant aneurysm, blood blister-like aneurysms and ICA rupture during the surgery. We present a novel ICA trapping technique which can be used with insufficient collaterals flow via anterior communicating artery (AcoA) and posterior communicating artery (PcoA). A patient was admitted with severe headache and the cerebral angiography demonstrated a typical blood blister-like aneurysm at the contralateral side of PcoA. For trapping the aneurysm, the first clip was placed at the ICA just proximal to the aneurysm whereas the distal clip was placed obliquely proximal to the origin of the PcoA to preserve blood flow from the PcoA to the distal ICA. The patient was completely recovered with good collaterals filling to the right ICA territories via AcoA and PcoA. This technique may be an effective treatment option for trapping the aneurysm, especially when the PcoA preservation is mandatory.