SURGICAL TREATMENT OF PATIENTS WITH LARGE AND GIANT SACCULAR ANEURYSMS OF THE CAVERNOUS PART OF THE INTERNAL CAROTID ARTERY

Аннотация

Presented the clinical case of successful extracranial-intracranial (EC-IC) bypass performance. Female patient, 45 years old, who has been suffered from giant cavernous aneurysm of right internal carotid artery (ICA), presented with mass effect. The EC-IC high-flow bypass using radial artery was performed between M3-M4 segment of right middle cerebral artery and right external carotid artery. Bypass patency was confirmed by intraoperative Doppler ultrasound, postoperative digital subtraction angiography and by ultrasound examination of anastomosis. Patient was discharged in 10th days after operation with satisfactory condition. The EC-IC bypass is one of effective method treatment for aneurysms of cavernous portion of ICA, allowing occluding aneurysm from cerebral blood flow and decreasing its mass effect to adjacent structures.