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CC BY-NC-ND 4.0 · Asian J Neurosurg 2020; 15(03): 678-682
DOI: 10.4103/ajns.AJNS_82_20
Case Report

High-flow bypass with radial artery graft for cavernous carotid aneurysm

Ambuj Kumar
Department of Neurosurgery, NSCB Medical College, Jabalpur, Madhya Pradesh
,
Raghavendra Sharma
1   Department of Neurosurgery, AIIMS, Raipur, Chhattisgarh
,
Riki Tanaka
2   Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya
,
Yashuhiro Yamada
2   Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya
,
Katsumi Takizawa
3   Department of Neurosurgery, Japanese Red Cross Asahikawa Hospital, Asahikawa, Hokkaido
,
Yoko Kato
2   Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya
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Cavernous carotid aneurysms can be managed by different surgical as well as endovascular methods. The aim of treatment is to exclude the aneurysm from circulation and maintain normal cerebral blood flow. We are reporting a case of incidentally detected CCA managed by high flow bypass with radial artery graft. We discuss the surgical technique and nuances of high flow bypass surgery.

Key-words:

Cavernous carotid aneurysm - high-flow bypass - radial artery graft

Financial support and sponsorship

Nil.




Publikationsverlauf

Eingereicht: 08. März 2020

Angenommen: 29. April 2020

Artikel online veröffentlicht:
16. August 2022

© 2020. 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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  • References

  • 1 Ambekar S, Madhugiri V, Sharma M, Cuellar H, Nanda A. Evolution of management strategies for cavernous carotid aneurysms: A review. World Neurosurg 2014;82:1077-85.
  • 2 Welch BG, Batjer HH. Cavernous carotid aneurysms: You can but should you? World Neurosurg 2014;82:996-7.
  • 3 Hardy WG, Thomas LM, Webster JE, Gurdjian ES. Carotid ligation for intracranial aneurysm: A follow-up study of 54 patients. J Neurosurg 1958;15:281-9.
  • 4 Wanke I, Doerfler A, Stolke D, Forsting M. Carotid cavernous fistula due to a ruptured intracavernous aneurysm of the internal carotid artery: Treatment with selective endovascular occlusion of the aneurysm. J Neurol Neurosurg Psychiatry 2001;71:784-7.
  • 5 Ratre S, Yadav YR, Parihar VS, Kher Y. Microendoscopic removal of deep-seated brain tumors using tubular retraction system. J Neurol Surg A Cent Eur Neurosurg 2016;77:312-20.
  • 6 Wiebers DO. Unruptured intracranial aneurysms: Natural history, clinical outcome, and risks of surgical and endovascular treatment. Lancet 2003;362:103-10.
  • 7 Kasliwal MK, Suri A, Sai Kiran NA, Sharma BS. Spontaneous thrombosis of giant cavernous internal carotid artery aneurysm in a neonate. Case report and review of the literature. Pediatr Neurosurg 2008;44:329-32.
  • 8 Stiebel-Kalish H, Kalish Y, Bar-On RH, Setton A, Niimi Y, Berenstein A, et al. Presentation, natural history, and management of carotid cavernous aneurysms. Neurosurgery 2005;57:850-7.
  • 9 Kumar A, Kutty RK, Yamada Y, Tanaka R, Ravisankar V, Musara A, et al. A retrospective analysis of treatment outcomes of 40 incidental cavernous carotid aneurysms. World Neurosurg 2019;130:e1034-40.
  • 10 Molyneux AJ, Kerr RS, Yu LM, Clarke M, Sneade M, Yarnold JA, et al. International subarachnoid aneurysm trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: A randomised comparison of effects on survival, dependency, seizures, rebleeding, subgroups, and aneurysm occlusion. Lancet 2005;366:809-17.
  • 11 Raymond J, Guilbert F, Weill A, Georganos SA, Juravsky L, Lambert A, et al. Long-term angiographic recurrences after selective endovascular treatment of aneurysms with detachable coils. Stroke 2003;34:1398-403.
  • 12 Becske T, Kallmes DF, Saatci I, McDougall CG, Szikora I, Lanzino G, et al. Pipeline for uncoilable or failed aneurysms: Results from a multicenter clinical trial. Radiology 2013;267:858-68.
  • 13 Kulcsár Z, Houdart E, Bonafé A, Parker G, Millar J, Goddard AJ, et al. Intra-aneurysmal thrombosis as a possible cause of delayed aneurysm rupture after flow-diversion treatment. AJNR Am J Neuroradiol 2011;32:20-5.
  • 14 Turowski B, Macht S, Kulcsár Z, Hänggi D, Stummer W. Early fatal hemorrhage after endovascular cerebral aneurysm treatment with a flow diverter (SILK-Stent): Do we need to rethink our concepts? Neuroradiology 2011;53:37-41.
  • 15 Ishishita Y, Tanikawa R, Noda K, Kubota H, Izumi N, Katsuno M, et al. Universal extracranial-intracranial graft bypass for large or giant internal carotid aneurysms: Techniques and results in 38 consecutive patients. World Neurosurg 2014;82:130-9.
  • 16 Patel HC, Teo M, Higgins N, Kirkpatrick PJ. High flow extra-cranial to intra-cranial bypass for complex internal carotid aneurysms. Br J Neurosurg 2010;24:173-8.
  • 17 Murai Y, Mizunari T, Umeoka K, Tateyama K, Kobayashi S, Teramoto A. Radial artery grafts for symptomatic cavernous carotid aneurysms in elderly patients. Neurol India 2011;59:537.
  • 18 Shimizu H, Matsumoto Y, Tominaga T. Parent artery occlusion with bypass surgery for the treatment of internal carotid artery aneurysms: Clinical and hemodynamic results. Clin Neurol Neurosurg 2010;112:32-9.
  • 19 Linskey ME, Sekhar LN, Hirsch WL Jr., Yonas H, Horton JA. Aneurysms of the intracavernous carotid artery: Natural history and indications for treatment. Neurosurgery 1990;26:933-7.
  • 20 Linskey ME, Jungreis CA, Yonas H, Hirsch WL Jr., Sekhar LN, Horton JA, et al. Stroke risk after abrupt internal carotid artery sacrifice: Accuracy of preoperative assessment with balloon test occlusion and stable xenon-enhanced CT. AJNR Am J Neuroradiol 1994;15:829-43.
  • 21 Lye RH, Jha AN. Unruptured aneurysms of the intracavernous internal carotid artery: Outcome following carotid ligation or conservative treatment. Br J Neurosurg 1989;3:181-8.
  • 22 Mount LA. Results of treatment of intracranial aneurysms using the selverstone clamp. J Neurosurg 1959;16:611-8.
  • 23 Dare AO, Chaloupka JC, Putman CM, Fayad PB, Awad IA. Failure of the hypotensive provocative test during temporary balloon test occlusion of the internal carotid artery to predict delayed hemodynamic ischemia after therapeutic carotid occlusion. Surg Neurol 1998;50:147-55.
  • 24 Kai Y, Hamada J, Morioka M, Yano S, Mizuno T, Kuroda J, et al. Treatment strategy for giant aneurysms in the cavernous portion of the internal carotid artery. Surg Neurol 2007;67:148-55.
  • 25 lshikawa T, Kamiyama H, Kobayashi N, Tanikawa R, Takizawa K, Kazumata K. Experience from “double-insurance bypass.” Surgical results and additional techniques to achieve complex aneurysm surgery in a safer manner. Surg Neurol 2005;63:485-90.
  • 26 Hongo K, Horiuchi T, Nitta J, Tanaka Y, Tada T, Kobayashi S. Double-insurance bypass for internal carotid artery aneurysm surgery. Neurosurgery 2003;52:597-602.