Advertisement

Clinical Aspects of Endovascular Treatment of Cerebral Aneurysms

  • Makoto Negoro
  • Keiichi Terashima
  • Tiaming Wang
  • Tsuneo Ishiguchi
  • Sadayuki Sakuma
Conference paper

Abstract

Recently, it has been widely accepted that the cerebral aneurysm, ruptured or unruptured, should be treated microsurgically. However, this does not always hold true when treating giant aneurysms. In Drake’s series, 62% of giant aneurysm cases couldn’t be clipped by usual microsurgical methods [3]. Several attempts had been made to improve these figures, including the direct injection of a thrombotic agent into the aneurysmal sac, or electrothrombosis of the aneurysm. Recent advances in the supercatheterization technique with the detachable balloon makes it possible to cannulate the narrow intracranial arteries [5]. Here we report our current approach toward the cerebral giant aneurysm with the detachable balloon technique.

Keywords

Internal Carotid Artery Cerebral Aneurysm Parent Artery Giant Aneurysm Left Internal Carotid Artery 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Berenstein A, Ransohoff J, Kupersmith M (1984) Transvascular treatment of giant aneurysms of cavernous carotid and vertebral arteries. Surg Neurol 21:3–12PubMedCrossRefGoogle Scholar
  2. 2.
    Debrun G, Fox A, Drake C, et al. (1980) Giant unclippable aneurysms: Treatment with detachable balloons. AJNR 2:167–173Google Scholar
  3. 3.
    Drake C (1979) Giant intracranial aneurysms: Experience with surgical treatment in 174 patients. Clin Neurosurg 26:12–95PubMedGoogle Scholar
  4. 4.
    Fox A, Vinuela F, Pelz D, et al. (1987) Use of detachable balloons for proximal artery occlusion in the treatment of unclippable cerebral aneurysms. J Neurosurg 66:40–46PubMedCrossRefGoogle Scholar
  5. 5.
    Negoro M, Kageyama N, Ishiguchi T (1983) Cerebrovascular occlusion by catheterization and embolization: Clinical experience. AJNR 4:362–365PubMedGoogle Scholar
  6. 6.
    Raymond J, Theron J (1986) Intracavernous aneurysms: Treatment by proximal balloon occlusion of the internal carotid artery. AJNR 7:587–593Google Scholar
  7. 7.
    Romadanov AP, Scheglov VI (1982) Intravascular occlusion of saccular aneurysms of the cerebral arteries by means of a detachable balloon catheter. In: Krayenbühl H (ed) Advances and technical standards in neurosurgery, vol. 9. Springer, Vienna, pp 25–49CrossRefGoogle Scholar

Copyright information

© Springer Japan 1988

Authors and Affiliations

  • Makoto Negoro
    • 1
  • Keiichi Terashima
    • 1
  • Tiaming Wang
    • 1
  • Tsuneo Ishiguchi
    • 2
  • Sadayuki Sakuma
    • 2
  1. 1.Department of NeurosurgeryNagoya University School of MedicineNagoyaJapan
  2. 2.Department of RadiologyNagoya University School of MedicineNagoyaJapan

Personalised recommendations