Abstract
Carotid ophthalmic artery aneurysms are of special interest because the direct microsurgical clipping procedure requires a special surgical strategy and technique. Worthy of mention are temporary internal carotid artery (ICA) occlusion in the neck, temporary clipping of the carotid artery near the cavernous sinus, retrograde or direct evacuation of the aneurysm, special (fenestrated) clips, removal of the clinoid process and the roof of the optic canal, and precise knowledge of the anatomy in the cavernous sinus and the relationship of the clinoid process to the internal carotid artery.
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References
Aldrich F (1991) Anterior (dorsal) paraclinoid aneurysm: Case report. Surg Neurol 35:374–376
Batjer H, Samson D (1990) Retrograde suction decompression of giant paraclinoidal aneurysms. J Neurosurg 73:305–306
Bather H, Frankfurt A, Purdy P, Smith S, Samson D (1988) Use of etomidate, temporary arterial occlusion, and intraoperative angiography in surgical treatment of large and giant cerebral aneurysms. J Neurosurg 68:234–240
Dolenc V (1989) Anatomy and surgery of the cavernous sinus. Springer, Wien New York
Flamm E (1981) Suction decompression of aneurysms. J Neurosurg 54:275–276
Gilsbach JM (1983) Intraoperative Doppler sonography in neurosurgery. Springer, Wien New York
Hosobuchi Y (1979) Direct surgical treatment of giant intracranial aneurysms. J Neurosurg 51:743–756
Kobayashi S, Kyoshima K, Gibo H, Hedge S, Takemae T, Sugita K (1989) Carotid cave aneurysms of the internal carotid artery. J Neurosurg 70:216–221
Nishioka T, Kondo A, Aoyama I, Nin K, Takahashi J (1990) Subarachnoid hemorrhage possibly caused a saccular carotid artery aneurysm within the cavernous sinus. J Neurosurg 73:301–304
Nutik St (1978) Carotid paraclinoid aneurysms with intradural origin and intracavernous location. J Neurosurg 48:526–533
Nutik St (1978) Ventral paraclinoid carotid aneurysms. J Neurosurg 69:340–344
Nutik St (1988) Removal of the anterior clinoid process for exposure of the proximal intracranial carotid artery. J Neurosurg 69:529–534
Ohmoto T, Nagao S, Mino S, Ito T, Homme Y, Fujiwara T (1991) Exposure of the intracavernous carotid artery in aneurysm surgery. J Neurosurg 28:317–324
Sugita K, Shigeaki K, Inoue T, Takemae T (1984) Characteristics and use of ultra-long aneurysm clips. J Neurosurg 60:145–150
Sundt TM, Piepgras DG (1979) Surgical approach to giant intracranial aneurysms. J Neurosurg 51:731–742
Sundt T, Piepgras D, Marsh R (1984) Booster clips for giant and thick-based aneurysms. J Neurosurg 60:751–762
Tamaki N, Shigekuni K, Kazumasa E, Masahiro A, Katsuzo F, Katsushi T, Satoshi M (1991) Giant carotid-ophthalmic artery aneurysms: direct clipping utilizing the “trapping-evacuation” technique. J Neurosurg 74:567–572
Yasargil M (1984) Microneurosurgery, vol I, II. Thieme, Stuttgart New York
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© 1992 Springer-Verlag Berlin Heidelberg
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Harders, A.G., Gilsbach, J.M., Laborde, G. (1992). Microsurgical Strategy and Surgical Results in Carotid Ophthalmic Artery Aneurysms. In: Piscol, K., Klinger, M., Brock, M. (eds) Neurosurgical Standards Cerebral Aneurysms Malignant Gliomas. Advances in Neurosurgery, vol 20. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-77109-5_24
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DOI: https://doi.org/10.1007/978-3-642-77109-5_24
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