The surgery of giant symptomatic cavernous sinus aneurysms

To evaluate the management and outcomes in patients with giant symptomatic cavernous sinus aneurysms who underwent aneurysms trapping with bypass, proximal carotid occlusion and aneurysms trapping. Twenty-three patients with giant symptomatic cavernous sinus aneurysms underwent surgery between Febru...

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Published inChung-hua wai kʿo tsa chih Vol. 52; no. 4; p. 276
Main Authors Wang, Fuyu, Sun, Zhenghui, Xu, Bainan, Wu, Chen, Jiang, Jinli, Jiang, Yan, Xue, Zhe, Peng, Dingwei
Format Journal Article
LanguageChinese
Published China 01.04.2014
Subjects
Adult
Aged
Carotid Artery Diseases - surgery
Carotid Artery, Internal - surgery
Cavernous Sinus - surgery
Female
Humans
Intracranial Aneurysm - surgery
Male
Middle Aged
Treatment Outcome
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Summary:To evaluate the management and outcomes in patients with giant symptomatic cavernous sinus aneurysms who underwent aneurysms trapping with bypass, proximal carotid occlusion and aneurysms trapping. Twenty-three patients with giant symptomatic cavernous sinus aneurysms underwent surgery between February 2007 and March 2013, 3 cases were male and 20 cases were female patients, the age of the patients ranged between 24 and 68 years, mean age was 54.7 years. The pre-operative digital subtraction angiography (DSA) and ballon occlusion test (BOT) were performed to confirm the diagnosis and identify hemodynamic reserve with carotid occlusion, and the aneurysms trapping with bypass, aneurysms trapping and proximal occlusion of the internal carotid artery were performed according to BOT results. During the surgery, the neurophysiological monitoring and the intraoperative CT perfusion were used. The follow-up by DSA or CT angiography were made. Seventeen patients underwent aneurysms trapping with bypass, 1 underwent an
ISSN:0529-5815