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CC BY-NC-ND 4.0 · Asian J Neurosurg 2018; 13(02): 482-484
DOI: 10.4103/ajns.AJNS_153_16
Case Report

Suction decompression during anterior clinoidectomy for direct clipping of paraclinoid aneurysm involving the anterior clinoid process

Naoki Otani
Department of Neurosurgery, National Defense Medical College, Tokorozawa, Saitama
,
Kojiro Wada
Department of Neurosurgery, National Defense Medical College, Tokorozawa, Saitama
,
Terushige Toyoka
Department of Neurosurgery, National Defense Medical College, Tokorozawa, Saitama
,
Kentaro Mori
Department of Neurosurgery, National Defense Medical College, Tokorozawa, Saitama
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Surgical clipping of paraclinoid aneurysms involving the anterior clinoid process (ACP) can present great challenges because strong adhesion may hinder dissection of the surrounding anatomical structures from the aneurysm dome. On the other hand, retrograde suction decompression (RSD) through direct puncture of the common carotid artery is a useful adjunct technique for clipping of these aneurysms. The present case illustrates that direct clipping of paraclinoid aneurysms involving the ACP can be achieved safely and less invasively using RSD during anterior clinoidectomy. Postoperatively, her clinical course was uneventful. RSD is a useful technique during anterior clinoidectomy in direct clipping of paraclinoid aneurysms involving the ACP.

Key-words:

Anterior clinoidectomy - microneurosurgery - paraclinoid aneurysm - suction decompression


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Artikel online veröffentlicht:
14. September 2022

© 2018. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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