Ruptured carotid artery aneurysms of the ophthalmic (C6) segment: clinical and angiographic long term follow-up of a multidisciplinary management strategy

Abstract

Based on favourable neuroradiological and ophthalmological outcomes, microsurgery is recommended for superiorly projecting aneurysms, especially aneurysms involving the ophthalmic artery, and for giant/large or wide necked aneurysms. Based on stable aneurysm occlusion and excellent clinical outcomes, embolisation can be recommended for inferiorly/medially projecting small, narrow necked aneurysms.

Indocyanine green videoangiography in clipping of paraclinoid aneurysms

“…Under ICG videoangiography, real time blood flow vortices can be witnessed. Many papers have been published on surgery for paraclinoid aneurysms (2)(3)(4)6,7,9,(13)(14)(15)18). The mean age of the patients in these studies is 42-50 years and the SAH rate is 0-80.8%, with mostly large and giant but some small aneurysms, which are comparable to those in our study.…”

“…Combined with the use of near-infrared video technology in current microscopes, surgeons can evaluate intraoperative blood flow with a simple intravenous injection. Previous studies have reported its use in cerebral arteriovenous malformations, aneurysms, and extracranial-intracranial bypasses with good results (12)(13)(14)(15)(16)(17). This study is dedicated to present our experience with the use of ICG videoangiography in surgical clipping of paraclinoid aneurysm.…”

Endovascular Treatment of Paraclinoid Aneurysms

“…Many papers have been published on surgery for paraclinoid (ophthalmic segment) aneurysms 2,3,6,[11][12][13][14][15][16][17] . They report mortality rates varying from 0 to 13.8% and morbidity up to 26.8%.…”

Computerized Occlusion Rating: A Superior Predictor of Aneurysm Rebleeding for Ruptured Embolized Aneurysms

“…12 We used standard embolization techniques with Guglielmi detachable coils (Boston Scientific, Natick, Massachusetts), including soft and 3D coil constructs.…”