2006
DOI: 10.1590/s0004-282x2006000500013
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Abstract: -In the treatment of complex paraclinoidal and giant cavernous aneurysms, preservation of the patency of the internal carotid artery (ICA) is not always possible, and therapeutic occlusion of the carotid is still an important option for their management. A complete preoperative evaluation of the carotid reserve circulation, including the use of temporary balloon occlusion test and single photon emission computerized tomography (SPECT) should be included in the current paradigms of paraclinoidal and intracavern… Show more

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Cited by 6 publications
(3 citation statements)
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“…Based on previous studies, the incidence of ischemia episodes is lower in the short term, but needs further long-term evaluation in the future. Secondly, the method for evaluating hemodynamic compensation needs to be elaborated, due to the occurrence of ischemia complications even after the surgical optimization based on pre-operative evaluation [28]. In early-phase cases, we preferred the aneurysm isolation combined with bypass procedure, which is mature technique with fewer complications.…”
Section: Discussionmentioning
confidence: 99%
“…Based on previous studies, the incidence of ischemia episodes is lower in the short term, but needs further long-term evaluation in the future. Secondly, the method for evaluating hemodynamic compensation needs to be elaborated, due to the occurrence of ischemia complications even after the surgical optimization based on pre-operative evaluation [28]. In early-phase cases, we preferred the aneurysm isolation combined with bypass procedure, which is mature technique with fewer complications.…”
Section: Discussionmentioning
confidence: 99%
“…A balloon occlusion test is frequently performed to predict the ischemic damage due to the occlusion of the main cerebral artery. Complications related to this procedure occur in 0‐3.2% of patients 1–7 . It is usually accepted as a safe examination.…”
Section: Introductionmentioning
confidence: 99%
“…Complications related to this procedure occur in 0-3.2% of patients. [1][2][3][4][5][6][7] It is usually accepted as a safe examination. Neurological signs due to transient cerebral ischemia are occasionally observed during the occlusion.…”
Section: Introductionmentioning
confidence: 99%