Download PDF
Skull Base 1995; 5(1): 21-26
DOI: 10.1055/s-2008-1058946
Original Articles

© Thieme Medical Publishers, Inc., 381 Park Avenue South, New York, NY 10016

Combined Microneurosurgical and Endovascular "Trapping-Evacuation" Technique for Clipping Proximal Paraclinoidal Aneurysms

Friedrich K. Albert, Michael Forsting, Rüdiger von Kummer, Alfred Aschoff, Stefan Kunze
Further Information

Publication History

Publication Date:
03 March 2008 (online)

  PDF Download  Permissions and Reprints

Abstract

A method is described in which a combined endovascular and microneurosurgical approach is used for clipping aneurysms of the proximal paraclinoidal segment of the internal carotid artery. By temporary occlusion of the cervical carotid artery and continuously retrograde sucking of blood from the distal vessel via a double lumen ballon catheter, clip application to large and critically located aneurysms is facilitated applying decompression to the trapped arterial segment under intraoperative somatosensory-evoked potential (SEP) monitoring.

      >