Internal Carotid Artery Rotation Technique to Expose an Aneurysm Neck: Technical Note

Author:

Hongo Kazuhiro1,Tanaka Yuichiro1,Horiuchi Tetsuyoshi1,Tada Tsuyoshi1,Kobayashi Shigeaki1

Affiliation:

1. Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan

Abstract

Abstract OBJECTIVE Full exposure of a neck of an aneurysm is important to obliterate it completely. METHODS A 51-year-old woman in whom an unruptured aneurysm projecting medially under the optic nerve was incidentally found underwent clipping surgery. The edge of the circumferentially cut distal dural ring was pulled with forceps to rotate the internal carotid artery and to expose the neck of the aneurysm. RESULTS The neck of the aneurysm was completely obliterated under direct vision. CONCLUSION This single, neat method exposes the neck of an unruptured paraclinoid aneurysm of the internal carotid artery.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Neurology (clinical),Surgery

Reference10 articles.

1. Brain Surgery: Complication Avoidance and Management;Kobayashi,1993

2. Dorsal internal carotid artery aneurysms, in Kobayashi S, Goel A, Hongo K: Neurosurgery of Complex Tumors and Vascular Lesions;Kobayashi,1997

3. Carotid cave aneurysms of the internal carotid artery;Kobayashi;J Neurosurg,1989

4. Application of nasopharyngeal mirror for aneurysm operation;Sugita;J Neurosurg,1975

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