Paraclinoid internal carotid artery aneurysm treatment

Because of the complex anatomical association among vascular, dural, and bony structures, paraclinoid internal carotid artery (ICA) aneurysms remain a major challenge for vascular neurosurgeons.

see 1).

Stent-assisted coiling has been increasingly used to treat paraclinoid aneurysms.

The durability of obliteration is still to be determined. Therefore, direct surgery for paraclinoid aneurysms still remains indispensable.

Due to their complex anatomical relationship at the skull base and because they are frequently large/giant, their surgical treatment remains a challenge.

It is important to determine the exact location of the paraclinoid aneurysm when considering treatment options.

The endoscopic transnasal approach provides excellent visualization of the paraclinoid region vasculature and offers potential surgical alternative for paraclinoid aneurysms 2).

Paraclinoid internal carotid artery aneurysm Surgery

Wang SS, Zhao QS, Hong JF, Zhao L, Zhang XJ, Wang RM. Microsurgical and Endovascular Treatments for Ruptured Paraclinoid Aneurysms. J Neurol Surg A Cent Eur Neurosurg. 2017 Jul 25. doi: 10.1055/s-0037-1604078. [Epub ahead of print] PubMed PMID: 28743135
Lai LT, Morgan MK, Snidvongs K, Chin DC, Sacks R, Harvey RJ. Endoscopic endonasal transplanum approach to the paraclinoid internal carotid artery. J Neurol Surg B Skull Base. 2013 Dec;74(6):386-92. doi: 10.1055/s-0033-1347370. Epub 2013 Jun 20. PubMed PMID: 24436941.
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