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Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
Clipping Surgery for Paraclinoid Carotid Aneurysm
Tetsuyoshi Horiuchi1, Yasunaga Yamamoto2, Yota Suzuki2
1Department of Neurosurgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, 390-8621, Japan. tetuyosi@shinshu-u.ac.jp.
Background:
Paraclinoid carotid aneurysm is widely treated with coil embolization. However, all paraclinoid carotid aneurysms cannot be obliterated by the endovascular approach.
Methods:
Our direct surgical procedure was presented. The clinical data of surgically treated paraclinoid carotid aneurysms were retrospectively reviewed.
Results:
One hundred ninety paraclinoid carotid aneurysms in 181 patients were directly obliterated at the Shinshu University Hospital and its affiliated hospitals between 1991 and 2013.
Conclusions:
Direct surgical repair of the paraclinoid carotid aneurysm is still useful, even in the era of endovascular treatment.
