SURGICAL TREATMENT OF PATIENTS WITH LARGE AND GIANT SACCULAR ANEURYSMS OF THE CAVERNOUS PART OF THE INTERNAL CAROTID ARTERY
Keywords:
large and giant aneurysms, internal carotid artery, cavernous partAbstract
Presented the clinical case of successful extracranial-intracranial (EC-IC) bypass performance. Female patient, 45 years old, who has been suffered from giant cavernous aneurysm of right internal carotid artery (ICA), presented with mass effect. The EC-IC high-flow bypass using radial artery was performed between M3-M4 segment of right middle cerebral artery and right external carotid artery. Bypass patency was confirmed by intraoperative Doppler ultrasound, postoperative digital subtraction angiography and by ultrasound examination of anastomosis. Patient was discharged in 10th days after operation with satisfactory condition. The EC-IC bypass is one of effective method treatment for aneurysms of cavernous portion of ICA, allowing occluding aneurysm from cerebral blood flow and decreasing its mass effect to adjacent structures.
References
Крылов В.В. Хирургия аневризм головного мозга. М 2011; 2: 396—431.
Пилипенко Ю. В., Элиава, Ш.Ш., Яковлев, С. Б., Белоусова, О. Б. и др. Анализ осложнений хирургического лечения аневризм головного мозга у больных, оперированных в отдаленном постгеморрагическом периоде. // Вопр. нейрохирургии. ‒ 2014. № 78(2) ‒C. 32-39
Abdulrauf S.I., Cantando J.D., Mohan Y.S. et al. EC-IC bypass for giant ICA aneurysms. In: Cerebral revascularization. Techniques in extracranial-tointracranial bypass surgery. Ed. I. Saleem. Abdulrauf: Elsevier Saunders 2011; 231—245.
Amin-Hanjani S. Cerebral revascularization: extracranial-intracranial bypass. Neurosurg Sci 2011; 55: 2: 107—116.
Brinjikji W., Cloft H.J., Fiorella D., Lanzino G., Kallmes D.F. Estimating the proportion of intracranial aneurysms likely to be amenable to treatment with the pipeline embolization device. J Neurointerv Surg 2011; 2.
Eddleman C.S., Hurley M.C., Bendok B.R., Batjer H.H. Cavernous carotid aneurysms: to treat or not to treat? Neurosurg Focus 2009; 26: 5: E4: 1—10.
Fuentes S, Levrier O, et AL: Giant fusiform intracranial A2 aneurysm: endovascular and surgical treatment // J. Neurosurg. 101: 704—704. — 2004.
.Fukamachi A., Hirato M., Wakao T., Kawafuchi J. Giant serpentine aneurysm of the posterior cerebral 7. Hauck E.F., Welch B.G., White J.A. et al. Stent/coil treatment of very large and giant unruptured ophthalmic and cavernous aneurysms. Surg Neurol 2008; 71: 1: 19—24
Kuramoto Y., et al. Long-term Results of Thera-peutic Parent Artery Occlusion without Bypass Surgery for Internal Carotid Artery Aneurysms // Journal of Neuroendovascular Therapy. – 2017. – P. 1-8.
R.Dj.Khalimov, A.M.Djurayev, Kh.R. Rakhmatullayev/ Rehabilitation Program For Children Withperthes Disease. Turkish Journal of Physiotherapy and Rehabilitation. 32(3).2021. Р.18403 - 18406
Shimizu K., et al. Endovascular parent-artery occlusion of large or giant unruptured internal carotid artery aneurysms. A long-term single-center ex-perience // J Clin Neurosci. – 2016.
Shi X., Qian H., Fang T., Zhang Y., Sun Y., Liu F. Man-agement of complex intracranial aneurysms with bypass surgery: a technique application and expe-rience in 93 patients // Neurosurg Rev. – 2015. – Vol. 38. – P. 109-120
ХР Рахматуллаев, АМ Джураев, Р Дж Халимов. Хирургическое лечение болезни Пертеса у детей. В сборнике статей "Турнеровские чтения" 54.58 Е 36. С. 304-307. 2020.
Youmans neurological surgery. Fifth edition.Volume 2. Giant aneurysms. G. Michael Lemone et al. 1087-1088. Elsevier 2004
Zanaty M., Jabbour P. M., BouSader R., Chalouhi N., Tjoumakaris S., Rosenwasser R. H., Fernando Gonzalez L. Intra-aneurysmal thrombus modification after flow-diversion // J ClinNeurosci.‒ 2015. ‒ T. 22, № 1. ‒ C. 105-110.
