C S Ogilvy1. 1. Department of Cerebrovascular Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, USA.
Abstract
OBJECTIVE: To review a technique used to repair a hole in the carotid artery encountered during the dissection and clipping of a giant paraclinoid aneurysm. METHODS: The technique of repair involves wrapping the artery using a woven double velour material impregnated with bovine collagen (Hemashield; Meadox, Oakland, NJ) and securing the material around the carotid artery with an aneurysm clip. The intravascular pressure of the carotid artery provides the counterforce necessary to seal the hole. RESULTS: The carotid artery was slightly narrowed after the treatment. The patient made an excellent recovery from surgery. CONCLUSION: This technique provides an alternative means of repairing a defect in the walls of intracranial arteries.
OBJECTIVE: To review a technique used to repair a hole in the carotid artery encountered during the dissection and clipping of a giant paraclinoid aneurysm. METHODS: The technique of repair involves wrapping the artery using a woven double velour material impregnated with bovine collagen (Hemashield; Meadox, Oakland, NJ) and securing the material around the carotid artery with an aneurysm clip. The intravascular pressure of the carotid artery provides the counterforce necessary to seal the hole. RESULTS: The carotid artery was slightly narrowed after the treatment. The patient made an excellent recovery from surgery. CONCLUSION: This technique provides an alternative means of repairing a defect in the walls of intracranial arteries.
Authors: Jorn Van Der Veken; Mary Simons; Michael J Mulcahy; Catherine Wurster; Marguerite Harding; Vera Van Velthoven Journal: Neurosurg Rev Date: 2021-11-20 Impact factor: 3.042