Fig. 1. (A) Intraoperative photographs of a large aneurysm located in the right distal internal carotid artery. (B) After retrograde suction decompression,

Slides:



Advertisements
Similar presentations
Surgical Anatomy of the Paraclinoid Region: Lessons From Many Masters Issam A. Awad, MD, MSc, FACS, MA (hon) Professor of Neurosurgery Northwestern University.
Advertisements

Cerebrovascular disease of Brain CT
Figure 1.1 The observer in the truck sees the ball move in a vertical path when thrown upward. (b) The Earth observer views the path of the ball as a parabola.
Surgical Treatment of Aneurysms of the Anterior Wall of the
Intracranial arterial variations diagnosed by MR angiography
Fig. 3. (A) The condition after bypass and before temporary clip removal. (B) Schematic drawing of the treatment plan for the giant serpentine aneurysm.
Roth’s spots White-centered retinal hemorrhages that are considered pathognomonic for subacute bacterial endocarditis.
Fig. 3. A 38-year-old man with large ruptured left paraophthalmic internal carotid artery (ICA) aneurysm (case 7). (A) Lateral view of left ICA angiogram.
Intervent Neurol 2017;6: DOI: /
Fig. 1. (A) Brain computed tomography of a 64-year-old male presenting with severe headache, shows multiple calcification on the bilateral cavernous internal.
Fig. 1. Digital subtraction angiography (DSA) images of a 39-year-old woman presented with subarachnoid hemorrhage (SAH). The anterior-posterior (AP) and.
Safety and efficacy of intraarterial thrombolysis for perioperative stroke after cardiac operation  Nader Moazami, MD, Nicholas G Smedira, MD, Patrick.
Volume 1, Issue 3, Pages (September 2014)
Cognitive outcome differences on the side of carotid artery stenting
Cerebral hyperperfusion syndrome after endovascular covered stent grafting for a giant extracranial aneurysm of the internal carotid artery  Sakyo Hirai,
Extracranial infected carotid artery aneurysm
Mohammed Al-Omran, MD, MSc  Journal of Vascular Surgery 
Feasibility of simultaneous pre- and postfilter transcranial Doppler monitoring during carotid artery stenting  Zsolt F. Garami, MD, Jean Bismuth, MD,
Treatment of a symptomatic intrathoracic internal carotid artery
Two-stage carotid saphenous vein interposition graft and superficial temporal artery bypass for acute carotid occlusion  Lukas Andereggen, MD, Robert.
Treatment of a symptomatic intrathoracic internal carotid artery
Comparable Cerebral Blood Flow in Both Hemispheres During Regional Cerebral Perfusion in Infant Aortic Arch Surgery  André Rüffer, MD, Philip Tischer,
Feasibility of simultaneous pre- and postfilter transcranial Doppler monitoring during carotid artery stenting  Zsolt F. Garami, MD, Jean Bismuth, MD,
Endangered Cerebral Blood Supply After Closure of Left Subclavian Artery: Postmortem and Clinical Imaging Studies  Hannu Manninen, MD, PhD, Harri Tulla,
Medical and Surgical Management of Intracranial Aneurysms
Flow redistribution in the major cerebral arteries after carotid endarterectomy: A study with transcranial Doppler scan  E.M. Vriens, MD, PhD, G.H. Wieneke,
Two-stage carotid saphenous vein interposition graft and superficial temporal artery bypass for acute carotid occlusion  Lukas Andereggen, MD, Robert.
Fig. 2. The process of retrograde suction decompression through the internal carotid artery with a Pruitt-Inahara® carotid shunt. (A) Neck dissection was.
Embolic occlusion of the right middle cerebral artery (MCA), treated by mechanical thrombectomy using a Solitaire stent. Embolic occlusion of the right.
Claus G. Schneider, MD, Helmut Kortmann, MD 
Volume 15, Issue 3, Pages (March 2008)
Figure 1 Management of acute ischaemic stroke after ICA-T occlusion
Open surgical repair using a reimplantation technique for a large celiac artery aneurysm anomalously arising from the celiomesenteric trunk  Hiroshi Higashiyama,
A, Left internal carotid artery (ICA) angiogram showing a left middle cerebral artery (MCA) bifurcation aneurysm and an additional distal MCA aneurysm.B.
A, Lateral angiogram obtained before treatment shows a right ruptured dissecting ICA aneurysm.B, 4 × 9 mm Jomed covered stent placed across the aneurysm.
Distal Landing Zone Open Fenestration Facilitates Endovascular Elephant Trunk Completion and False Lumen Thrombosis  Eric E. Roselli, MD, Edgardo Sepulveda,
Daniel L. Roberts, MD, Usha Tatini, MD, Richard S
Intercostal Artery Aneurysmosis
Correction of symptomatic cerebral malperfusion due to acute type I aortic dissection by transcarotid stenting of the innominate and carotid arteries 
Mandibular subluxation stabilized by mouthpiece for distal internal carotid artery exposure in carotid endarterectomy  Masanori Yoshino, MD, Hiroshi Fukumoto,
Revascularization of cerebral ischemia after previous bilateral extracranial-intracranial bypass procedures  V.S. Sottiurai, MD, PhD, L. Herbert, MD,
Hypoplastic internal carotid artery stenosis with a low-lying carotid bifurcation causing cerebral ischemia  Alan G. Dawson, MBChB, BSc (Hons), Alasdair.
Right Aortic Arch With Isolation of the Left Subclavian Artery: Case Report and Review of the Literature  PATRICK H. LUETMER, M.D., GARY M. MILLER, M.D. 
N Ducrey, P Ruchat, D Teta, D Hayoz, L Mazzolai  EJVES Extra 
Wesley P. Thayer, MD, PhD, John R. Gaughen, MD, Nancy L. Harthun, MD 
Margruder C. Donaldson, M. D. , William H. Druckemiller, M. D
Endovascular Thoracic Aortic Aneurysm Repair With Concomitant Myocardial and Carotid Revascularization  Keshava Rajagopal, MD, PhD, Brian Lima, MD, J.
Endovascular Repair of a Right-Sided Descending Thoracic Aortic Aneurysm With a Right-Sided Aortic Arch and Aberrant Left Subclavian Artery  Joseph J.
The modified operative technique of partial eversion carotid endarterectomy  Richard McBride, MRCS, Johnathan Porter, MRCS, Haytham Al-Khaffaf, FRCS  Journal.
Nikolaos Tsilimparis, MD, PhD, E
Safety and efficacy of intraarterial thrombolysis for perioperative stroke after cardiac operation  Nader Moazami, MD, Nicholas G Smedira, MD, Patrick.
Construction of the wide neck aneurysm model
A. Assadian, MD, C. Senekowitsch, MD, R. Rotter, MD, C. Zölß, MD, J
Correction of symptomatic cerebral malperfusion due to acute type I aortic dissection by transcarotid stenting of the innominate and carotid arteries 
Concomitant asymptomatic internal carotid artery and persistent primitive hypoglossal artery stenosis treated by endovascular stenting with proximal embolic.
TOF-MRA (first column), FSBB (second column), and an intraoperative photomicrograph (third column) of 4 different patients with various degrees of atherosclerosis.
A, Axial unenhanced CT shows diffuse symmetric subarachnoid hemorrhage
Fig. 3. Trans-femoral cerebral angiography image of the patient
Case 2.A, Right internal carotid artery (ICA) angiogram, oblique view, showing a 4-mm aneurysm at the right middle cerebral artery (MCA) bifurcation.B,
Four more examples of missed additional aneurysms on DSA
Fig. 4. A 74-year-old female with right hemiplegia and aphasia, 2 hours ago. (a) DWI shows hyperintense lesion in the entire left cerebral hemisphere.
Pipeline embolisation device (PED) treatment of two right-sided intracranial carotid artery (ICA) aneurysms, 4 mm anterior choroidal aneurysm and a 5 mm.
Anteroposterior (A and C) and lateral (B and C) images from a left internal carotid artery angiogram obtained during the early (A and B) and delayed angiographic.
Multiple PCA associated with Moya-Moya disease, successfully treated with GDC. A, Frontal view of left internal carotid angiogram showing occlusion of.
Case 1: Teenage patient with history of bicoronal craniotomy for craniopharyngioma resection followed by proton beam therapy who presented with (A) R ICA.
Case 5: Sexagenarian with (A) R CCA DSA showing absent ACoA and (B) L CCA DSA showing fusiform PCoA aneurysm with (C) dome irregularity and short postcommunicating.
Imaging plane for arterial spin labeling method.
A 36-year-old woman (patient 13) presenting with right hemiparesis and left anterior circulation infarct diagnosed at brain MR imaging. A 36-year-old woman.
Developmental anatomy of the distal BA
Case 3.A, CT angiography revealing bilateral asymptomatic middle cerebral artery (MCA) bifurcation aneurysms and an additional aneurysm at the left distal.
Presentation transcript:

Fig. 1. (A) Intraoperative photographs of a large aneurysm located in the right distal internal carotid artery. (B) After retrograde suction decompression, the aneurysm was deflated. (C) The anterior choroidal artery arising from the side wall of the aneurysm. (D) Clipping with 5 fenestrated clips. (E) Diagram of the 5 fenestration clips. (F) Illustrations of clip placement. ICA, internal carotid artery; ACA, anterior cerebral artery; MCA, middle cerebral artery. Fig. 1. (A) Intraoperative photographs of a large aneurysm located in the right distal internal carotid artery. (B) After retrograde suction decompression, the aneurysm was deflated. (C) The anterior choroidal artery arising from the side wall of the aneurysm. (D) Clipping with 5 fenestrated clips. (E) Diagram of the 5 fenestration clips. (F) Illustrations of clip placement. ICA, internal. . . Yonsei Med J. 2017 Mar;58(2):449-452. https://doi.org/10.3349/ymj.2017.58.2.449