Title

Ophthalmic artery aneurysm treated by surgical clipping and balloon-assisted temporary carotid occlusion

Publication Date

2015

Journal Title

Neurosurg Focus

Abstract

A 29-year-old woman is diagnosed with a large broad-base right ophthalmic artery aneurysm. Despite an intact visual field, she complained of mild right visual blurriness. Between endovascular and surgical treatments, surgery was favored due to her young age. It was decided to perform the surgery with simultaneous endovascular temporary carotid balloon occlusion. A right pterional craniotomy and intradural anterior clinoidectomy were performed, the balloon was positioned in the petrous carotid, and the distal durai ring was opened exposing the proximal neck. Under temporary proximal carotid balloon occlusion and distal carotid clip occlusion, the aneurysm was fully dissected and clipped. Intraoperative angiogram confirmed complete aneurysm occlusion and patency of the ophthalmic artery. The patient's neurological exam remained unchanged. The video can be found here: http://youtu.be/BIQKTl9bDqA .

Volume Number

39 Video Suppl 1

Pages

V3

Document Type

Article

EPub Date

2015/07/02

Status

Faculty

Facility

School of Medicine

Primary Department

Neurosurgery

PMID

26132620

DOI

10.3171/2015.7.FocusVid.14570