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The fate of muscle and cotton wrapped about intracranial carotid arteries and aneurysms

A laboratory and clinico-pathological study

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Summary

  1. 1.

    Muscle wrapped about the internal carotid artery in dogs did not engender an early, dense, or even late satisfactory envelopment by fibrous tissue.

  2. 2.

    Two failures of muscle wrapping of human intracranial aneurysms are reported and studied pathologically.

  3. 3.

    Cotton induced a dense, fibrotic response about intracranial blood vessels in dogs and in two human cases. It may account for some of the successes previously attributed to muscle wrapping.

  4. 4.

    A plastic encasement of those aneurysms which cannot be clipped might be the best technique, providing the material is sufficiently strong, non-toxic, closely adherent to the vessel, does not engender heat, and does not engender complications. The ideal material has not yet been, discovered.

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Author notes

  1. E. Sachs Jr. M.D. (Clinical Associate Professor of Neurosurgery)

    Present address: Dartmouth Medical School, Hitchcock Clinic, Mary Hitchcock Memorial Hospital, 03755, Hanover, NH, USA

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    1. E. Sachs Jr. M.D.
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    Additional information

    Supported by the Hitchcock Foundation Grant 250-E. Presented in part before the New England Neurosurgical Society, Boston, June 1964 and the Lahey Clinic Alumni Association, Boston, 1969.

    The author wishes to acknowledge the assistance and advice of Doctors George Margolis, Kurt Benirschke, Ronald Birkenfeld, Aykut Erbengi, Raymond Liggio, Richard Thorp, Richard Saunders, and to Mr. John Gillingham and Dr. Gordon Dugger for permission to publish their cases.

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    Sachs, E. The fate of muscle and cotton wrapped about intracranial carotid arteries and aneurysms. Acta neurochir 26, 121–137 (1972). https://doi.org/10.1007/BF01406549

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