 Giant aneurysm |
 |
 |
|
 |
 |
 |
 |
 |
|
||||||
|
  |
| Giant aneurysm |
| gfoltz |
 Nov 10 2005, 10:24 AM
Post
#1
|
|
Group: Members Posts: 2 Joined: 6-June 05 From: Seattle, WA USA Member No.: 92  |
Dear Dr. Foltz,
What do you think of the case , clipped by craniotomy or endovascular embolization? The images are in the attachment. Thank you! Yours sincerely, Jiang Xiaochun       Hi Jiang! I shared your case with my colleagues, Dave Newell and Joe Eskridge. We would use endovascular embolization to occlude the distal posterior cerebral artery feeding the aneurysm. The surgical experience comparing direct occlusion vs bypass does not show any increase in symptomatic stroke. The distal PCA area receives good collateral flow so occlusion is well-tolerated. If you don’t have endovascular techniques, you could try to directly clip occlude the feeding PCA. Unfortunately, this can be quite difficult with a giant thrombosed aneurysm and would require careful dissection of the proximal brainstem and thalamo-perforating branches. We recommend endovascular occlusion. Best wishes! Greg Foltz MD |
   |
 
|
| Greg Foltz MD |
Nov 20 2005, 07:32 PM
Post
#2
|
|
Group: Root Admin Posts: 33 Joined: 9-August 04 From: Seattle, Washington Member No.: 2 Current Location (City, Country): Seattle, Washington |
The patient who suffers from aneurysm has recovered. I have attached some post-embolization images.
Jiang Neurosurgery Department Yi Ji Shan Hospital Wanna Medical College Wuhu, Anhui, 241000 The P.R.C.     |
|
|
|
|
| Lo-Fi Version | Time is now: 8th September 2010 - 03:21 AM |
