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Journal of Korean Neurosurgical Society 1999;28(10): 1505-1511.
Giant Fusiform Aneurysm by Circumferential Wrapping with Sutures-Reinforcement.
Young Il Ha, Kwan Young Song, Sung Soo Ban, Chi Sung Ahn, Myung Hun Chung, Dong Soo Kang
Department of Neurosurgery, Kangnam General Hospital, Seoul, Korea.
ABSTRACT
Adirect intracranial operative approach with clipping the neck of the aneurysm is generally considered to be the ideal treatment for the intracranial arterial aneurysms. Several strategies exist for treating unclippable aneurysms. Intravascular techniques, proximal occlusion of the parent artery or trapping of the aneurysm, microsurgical bypass of the involved arterial segment, and reinforcement or wrapping of the aneurysmal wall are frequently used. The authors report a case with long term(6 years) follow-up results of the circumferential wrapping with sutures-reinforcement for giant fusiform aneurysm of the internal carotid artery. The giant fusiform aneurysm and ideal wrapping materials were discussed with review of literature.
Key Words: Aneurysm; Fusiform; Giant; Wrapping; Sutures; Dacron patch
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