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Giant Cavernous Aneurysm: Parent Vessel Occlusion After Balloon Occlusion Test

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Abstract

A 28-year-old female presented with headaches and diplopia. Examination revealed right third and sixth cranial nerve palsy. MRI revealed a giant aneurysm in right cavernous sinus. DSA showed giant broad-neck aneurysm involving cavernous segment of right ICA (Fig. 5.1a, b). Good-sized ACOM and PCOM arteries were seen (Fig. 5.1c, d). Parent vessel occlusion after balloon test occlusion was planned.

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Suggested Reading

  • Abud DG, Spelle L, Piotin M, Mounayer C, Vanzin JR, Moret J. Venous phase timing during balloon test occlusion as a criterion for permanent internal carotid artery sacrifice. AJNR Am J Neuroradiol. 2005;26(10):2602–9.

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  • Lesley WS, Rangaswamy R. Balloon test occlusion and endosurgical parent artery sacrifice for the evaluation and management of complex intracranial aneurysmal disease. J Neurointerv Surg. 2009;1(2):112–20.

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  • van Rooij WJ, Sluzewski M, Slob MJ, Rinkel GJ. Predictive value of angiographic testing for tolerance to therapeutic occlusion of the carotid artery. AJNR Am J Neuroradiol. 2005;26(1):175–8.

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Correspondence to Vipul Gupta .

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Gupta, V. (2019). Giant Cavernous Aneurysm: Parent Vessel Occlusion After Balloon Occlusion Test. In: Gupta, V., Puri, A., Parthasarathy, R. (eds) 100 Interesting Case Studies in Neurointervention: Tips and Tricks. Springer, Singapore. https://doi.org/10.1007/978-981-13-1346-2_5

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  • DOI: https://doi.org/10.1007/978-981-13-1346-2_5

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-13-1345-5

  • Online ISBN: 978-981-13-1346-2

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