Retrograde suction decompression of giant paraclinoid aneurysms using a No. 7 French balloon-containing guide catheter: Technical note

Richard J. Parkinson, Bernard Bendok, Christopher C. Getch, Parham Yashar, Ali Shaibani, William Ankenbrandt, Issam A. Awad, H. Hunt Batjer

Research output: Contribution to journalArticle

34 Citations (Scopus)

Abstract

The treatment of large and giant paraclinoid carotid artery (CA) aneurysms often requires the use of suction decompression for safe and effective occlusion. Both open and endovascular suction decompression techniques have been described previously. In this article the authors describe a revised endovascular suction decompression technique that provides several advantages in the treatment of large and giant paraclinoid and CA aneurysms. A 51-year-old woman presented with a relatively brief history of progressive visual loss in the right eye, nonspecific headache, and an afferent pupillary defect. After angiography studies had been obtained, it was determined that she had a giant right paraclinoid internal CA aneurysm with a dome size of approximately 26 mm on the right and a neck diameter of 10 mm. A modified technique was performed in which suction decompression was used. With the aid of a No. 7 French Concentric balloon guide catheter (Concentric Medical, Inc., Mountain View, CA) and application of a temporary clip distal to the aneurysm, the aneurysm was trapped and decompressed using retrograde suction through the guide catheter when the balloon was inflated. After satisfactory placement of three permanent clips, an intraoperative angiogram obtained through the same guide catheter confirmed CA patency. The aneurysm was then punctured and aspirated, ensuring complete occlusion of the aneurysm sac and reconstruction of the parent vessel. The patient made an excellent recovery and did not suffer any complications. She did not experience worsening in her vision. This technical modification to endovascular suction decompression allows several potential advantages, including higher volume decompression and the ability to deliver endovascular devices to distal arterial locations.

Original languageEnglish (US)
Pages (from-to)479-481
Number of pages3
JournalJournal of Neurosurgery
Volume105
Issue number3
DOIs
StatePublished - 2006
Externally publishedYes

Fingerprint

Suction
Decompression
Aneurysm
Catheters
Carotid Arteries
Surgical Instruments
Angiography
Pupil Disorders
Aptitude
Internal Carotid Artery
Headache
Neck
Equipment and Supplies
Therapeutics

Keywords

  • Balloon catheter
  • Giant paraclinoid aneurysm
  • Suction decompression

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

Cite this

Retrograde suction decompression of giant paraclinoid aneurysms using a No. 7 French balloon-containing guide catheter : Technical note. / Parkinson, Richard J.; Bendok, Bernard; Getch, Christopher C.; Yashar, Parham; Shaibani, Ali; Ankenbrandt, William; Awad, Issam A.; Batjer, H. Hunt.

In: Journal of Neurosurgery, Vol. 105, No. 3, 2006, p. 479-481.

Research output: Contribution to journalArticle

Parkinson, Richard J. ; Bendok, Bernard ; Getch, Christopher C. ; Yashar, Parham ; Shaibani, Ali ; Ankenbrandt, William ; Awad, Issam A. ; Batjer, H. Hunt. / Retrograde suction decompression of giant paraclinoid aneurysms using a No. 7 French balloon-containing guide catheter : Technical note. In: Journal of Neurosurgery. 2006 ; Vol. 105, No. 3. pp. 479-481.
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