Yonsei Med J.  2017 Mar;58(2):449-452. 10.3349/ymj.2017.58.2.449.

Retrograde Suction Decompression with an Inahara Carotid Shunt for Clipping a Large Distal Internal Carotid Artery Aneurysm

• Park YS
• Nam TK

• KMID: 2427136
• DOI: http://doi.org/10.3349/ymj.2017.58.2.449

Abstract

We describe a technique to clip a large internal carotid artery (ICA) aneurysm via a retrograde suction decompression (RSD). A large aneurysm in the right distal ICA involving the bifurcation region measuring 1.2×1.1×0.7 cm with posterior projection was managed with assisted RSD technique. The anterior choroidal artery emerged from the side wall of the aneurysm. An Inahara shunt was inserted into the ICA with neck dissection, and RSD was applied after completely clipping the aneurysm. RSD with an Inahara carotid shunt is useful for complete visualization of the aneurysm, including its surrounding structures, and for proximal control of the parent vessels, subsequently achieving satisfactory clip placement.

Keyword

Intracranial aneurysm; carotid artery; decompression

MeSH Terms

Aneurysm/*surgery
Carotid Artery Diseases/*surgery
Carotid Artery, Internal/*surgery
Decompression, Surgical/*methods
Humans
Microsurgery/*methods
Suction
Surgical Instruments